Healthcare Provider Details

I. General information

NPI: 1013517721
Provider Name (Legal Business Name): SARTHAK PATEL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2020
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 JOURNAL CENTER BLVD NE
ALBUQUERQUE NM
87109-5917
US

IV. Provider business mailing address

8908 ALEESA CT NE
ALBUQUERQUE NM
87113-2537
US

V. Phone/Fax

Practice location:
  • Phone: 505-342-8408
  • Fax:
Mailing address:
  • Phone: 505-270-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRP009391
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: