Healthcare Provider Details

I. General information

NPI: 1083936942
Provider Name (Legal Business Name): SHAILESH H. PATEL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S MAIN ST
COOPERSBURG PA
18036-1912
US

IV. Provider business mailing address

135 S MAIN ST
COOPERSBURG PA
18036-1912
US

V. Phone/Fax

Practice location:
  • Phone: 610-282-0173
  • Fax: 484-863-9093
Mailing address:
  • Phone: 610-282-0173
  • Fax: 484-863-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPI008427
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP039139L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: