Priya Thakkar

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS61105 Issued in FL

Practice address

13697 W Colonial Dr
Winter Garden, FL 34787-3923

Phone

(407) 656-8333

NPI assigned

Dec 1, 2016

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  dba Cvs Pharmacy #17915

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  dba CVS Pharmacy# 01820

  • Pharmacy
  • Winter Garden, FL
  • NPI 1811091796
  NPD (past)

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1023551470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E FOOTHILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13697 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873923",
            "telephone_number": "407-656-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671223",
            "country_code": "US",
            "telephone_number": "909-621-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "PRIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75843",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marialby Terrenzio Rojas, BEHAVIOR TECHNICIAN
• Donovan L Terry
• Kristine Elizabeth Terry, PHD
• Jeanmarie Texier, MD
• Tida Thaipejr, MD
• Thanh & VI Eye Care (You & Eyes)
• The Gardens at Lakeview, LLC
• The Grove Dentistry, P.a.
• The Palmer Wellness Institute, LLC
• The Pieces Fit Interventions LLC

• Pharmacist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.