Healthcare Provider Details

I. General information

NPI: 1992080188
Provider Name (Legal Business Name): ANUP M PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3403 FOREST DR
COLUMBIA SC
29204-4028
US

IV. Provider business mailing address

7467 SAINT ANDREWS RD STE 6
IRMO SC
29063-2876
US

V. Phone/Fax

Practice location:
  • Phone: 803-782-4027
  • Fax: 803-738-2415
Mailing address:
  • Phone: 803-732-0426
  • Fax: 803-732-2698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number9418
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: