MEDICARE: JAY CHINU PATEL PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	A1-0004517	DE
2	183500000X	Pharmacist	RP448396	PA

General Provider Information

NPI Number	:	1366831919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY CHINU PATEL PHARMD.

Provider Business Mailing Address
First Line	:	2500 W 4TH ST STE 1
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-3352
Country	:	US
Telephone Number	:	570-677-5509
Fax Number	:	302-502-3885

Provider Business Practice Location Address
First Line	:	2500 W 4TH ST STE 1
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-3352
Country	:	US
Telephone Number	:	570-677-5509
Fax Number	:	302-502-3885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2015
Last Update Date	:	11/27/2025

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