Provider Demographics
NPI:1366289340
Name:PATEL, RUSHI PRIYAKANT (PHARMD)
Entity type:Individual
Prefix:
First Name:RUSHI
Middle Name:PRIYAKANT
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KINGS CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5003
Mailing Address - Country:US
Mailing Address - Phone:919-935-9385
Mailing Address - Fax:
Practice Address - Street 1:2222 SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-6581
Practice Address - Country:US
Practice Address - Phone:704-373-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist