Provider Demographics
NPI:1710600739
Name:PATEL, NIKETA R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NIKETA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 VILLAGE CIRCLE WAY APT 924
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6137
Mailing Address - Country:US
Mailing Address - Phone:336-880-9524
Mailing Address - Fax:
Practice Address - Street 1:100 VILLAGE CIRCLE WAY APT 924
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6137
Practice Address - Country:US
Practice Address - Phone:336-880-9524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist