=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912266610
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | R PATEL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2012
-----------------------------------------------------
Last Update Date | 09/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 216 S STATE ST
-----------------------------------------------------
City | BELVIDERE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61008-3617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-544-3433
-----------------------------------------------------
Fax | 815-547-6644
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 216 S STATE ST
-----------------------------------------------------
City | BELVIDERE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61008-3617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-544-3433
-----------------------------------------------------
Fax | 815-547-6644
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. RAJESH PATEL
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 815-962-2166
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------