Provider Demographics
NPI:1801027859
Name:PATEL, JIGAR P (RPH)
Entity Type:Individual
Prefix:
First Name:JIGAR
Middle Name:P
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 CHARLES BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4451
Mailing Address - Country:US
Mailing Address - Phone:252-758-1400
Mailing Address - Fax:252-758-4417
Practice Address - Street 1:1401 CHARLES BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4451
Practice Address - Country:US
Practice Address - Phone:252-758-1400
Practice Address - Fax:252-758-4417
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17615183500000X
NJ29RI03070600183500000X
MD17369183500000X
MI5302035682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist