Individual provider Active NPI

Gopi Patel

  • Pharmacist
  • Seffner, FL
National Provider Identifier
1013560762
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59170 Issued in FL
Practice address
1812 S Parsons Ave Unit 104
Seffner, FL 33584-7201
Phone
(813) 685-4444
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59170 FL Primary

Addresses

Primary practice location

1812 S Parsons Ave Unit 104
Seffner, FL 33584-7201

Mailing address

1812 S Parsons Ave Unit 104
Seffner, FL 33584-7201
Phone (813) 685-4444

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

LicenseStateTypeSpecialty
PS59170FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rudrakrupa LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

1812 S Parsons Ave
Unit 104
Seffner, FL 33584
Phone (727) 698-0097

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1013560762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 S PARSONS AVE UNIT 104",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335847201",
            "telephone_number": "813-685-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S PARSONS AVE UNIT 104",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335847201",
            "telephone_number": "813-685-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GOPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.