Goverdhan LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28265 Issued in FL

Legal business name

GOVERDHAN LLC

Practice address

4347-3 University Blvd S
Jacksonville, FL 32216

Phone

(904) 329-2251

Fax

(904) 329-2384

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Dipa Shah

Title

Manager

Phone

(904) 329-2251

Specialties & licenses 1

Addresses

Other names 1

• Jackson Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pinky K Desai

  • Pharmacist
  • Jacksonville, FL
  • NPI 1992289557
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1043627367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347-3 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-329-2251",
            "fax_number": "904-329-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347-3 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-329-2251",
            "fax_number": "904-329-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERDHAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-329-2251"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark T Gould, MD
• Twanna M Gould, LD/N
• Waldemar Melvin Goulet Jr., FNP-BC, NP-C
• Sasha Gourgue, M.D
• Anne-Marie Gousse
• Austin Bailey Govero, MD
• Lauren Elizabeth Goworowski, PSY.D.
• Anshit Goyal, MBBS, MS
• Hemant Goyal, MD
• Juhi Goyal, DMD

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.