Healthcare Provider Details

I. General information

NPI: 1265362586
Provider Name (Legal Business Name): MANSI PATEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3129 HIGHBURY PL
WEDDINGTON NC
28104-8747
US

IV. Provider business mailing address

3129 HIGHBURY PL
WEDDINGTON NC
28104-8747
US

V. Phone/Fax

Practice location:
  • Phone: 704-384-3000
  • Fax:
Mailing address:
  • Phone: 704-384-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26007
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: