MEDICARE: SHIV HITENDRA PATEL RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	90628	CA

General Provider Information

NPI Number	:	1942183793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIV HITENDRA PATEL RPH

Provider Business Mailing Address
First Line	:	1402 W 14TH ST
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-2521
Country	:	US
Telephone Number	:	909-851-0725
Fax Number	:

Provider Business Practice Location Address
First Line	:	5412 E VILLAGE RD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1698
Country	:	US
Telephone Number	:	562-425-6434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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