Active NPI
Dipak Patel
- Pharmacist
- Port Richey, FL
National Provider Identifier
1013505999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS39936
- Practice address
- 11938 US Highway 19
Port Richey, FL 34668-1055 - Phone
- (727) 868-9408
- NPI assigned
- Jan 6, 2021
- Last updated
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS39936 | FL | Primary |
Addresses
Primary practice location
11938 US Highway 19
Port Richey, FL 34668-1055
Mailing address
11938 US Highway 19
Port Richey, FL 34668-1055
Phone (727) 868-9408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS39936 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1013505999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11938 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346681055",
"telephone_number": "727-868-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11938 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346681055",
"telephone_number": "727-868-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIPAK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS39936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Richey, FL
- Parkwood Pharmacy, Inc. (Parkwood Medical)
- Parkwood Pharmacy, Inc. (Parkwood Medical)
- Parkwood Pharmacy, Inc. (Parkwood Medical)
- Pasco County Board of County Commissioners
- Elizabeth C Pasiourits
- Richard Paternoster, DDS
- Natalie Patrick-Brown, ARNP
- John S Patton Jr., LMHC, CAP
- Paul Southby, OD, PA
- Devyn Peabody
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.