Healthcare Provider Details

I. General information

NPI: 1972468577
Provider Name (Legal Business Name): KRISHNA RAMESH PATEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 MCARTHUR ST
MANCHESTER TN
37355-4426
US

IV. Provider business mailing address

2029 HILLSBORO BLVD
MANCHESTER TN
37355-7307
US

V. Phone/Fax

Practice location:
  • Phone: 931-728-0874
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48582
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: