Provider Demographics
NPI:1447920897
Name:PATEL, NIKESH SANJAY (PHARMD)
Entity type:Individual
Prefix:
First Name:NIKESH
Middle Name:SANJAY
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 1:300 CENTERVIEW DR UNIT 315
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5537
Mailing Address - Country:US
Mailing Address - Phone:229-327-5765
Mailing Address - Fax:
Practice Address - Street 1:118 MACKENAN DR STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3600
Practice Address - Country:US
Practice Address - Phone:866-463-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist