Active NPI
Prashant K Patel, MS, MBA, R PH
- Pharmacist
- Flagler Beach, FL
National Provider Identifier
1053659425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36305
- Practice address
- 200 Moody Blvd
Flagler Beach, FL 32136-6127 - Phone
- (904) 728-7283
- Fax
- (386) 426-6600
- NPI assigned
- Jan 19, 2013
- Last updated
- Sep 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | PS36305 | FL | Primary |
Addresses
Primary practice location
200 Moody Blvd
Flagler Beach, FL 32136-6127
Mailing address
200 Moody Blvd
Flagler Beach, FL 32136-3372
Phone (904) 728-7283
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
- Credentials
- Master of Business Administration, Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36305 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shri Govind LLC | Current | Accepting new patients | |
| Shri Govind LLC | Current | Accepting new patients |
Locations
200 Moody Blvd
Flagler Beach, FL 32136
Phone (386) 777-0777
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": "1358553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1053659425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MOODY BLVD",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321363372",
"telephone_number": "904-728-7283",
"fax_number": "386-426-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MOODY BLVD",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321366127",
"telephone_number": "904-728-7283",
"fax_number": "386-426-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRASHANT",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "MS, MBA, R PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-19",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagler Beach, FL
- Old Kings Chiropractic LLC
- Open Compass Counseling LLC
- Ericka Ortiz, BSN, RN
- Katie Ostrander
- Brandy Irene Parker
- Maria Lynn Wagner Pieczonka, CRNA
- Soline Vatshie Pierre-Gilles, DMD
- Amber Monee Pinnock, RPH
- Publix Super Markets Inc (Publix Pharmacy #1257)
- Quantum Health Solutions of Florida, Inc. (Quantum's Oceanside Recovery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.