Active NPI
Haritkumar Patel
- Pharmacist
- Steinhatchee, FL
National Provider Identifier
1063907434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38439
- Practice address
- 102 9TH St S E
Steinhatchee, FL 32359 - Phone
- (352) 498-0680
- Fax
- (352) 498-0682
- NPI assigned
- Jun 27, 2018
- Last updated
- Jun 27, 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 | PS38439 | FL | Primary |
Addresses
Primary practice location
102 9TH St S E
Steinhatchee, FL 32359
Mailing address
650 Rob Roy Dr
Clermont, FL 34711-3800
Phone (352) 874-3432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020465200 | Medicaid | FL |
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 |
|---|---|---|---|
| PS38439 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Subham Healthcare LLC | Past | Accepting new patients | |
| C&T RX LLC | 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.
-
dba Steinhatchee Drugs
- Community/Retail Pharmacy
- Steinhatchee, FL
- NPI 1255877312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1063907434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 ROB ROY DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347113800",
"telephone_number": "352-874-3432",
"fax_number": "352-498-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 9TH ST S E",
"city": "STEINHATCHEE",
"state": "FL",
"postal_code": "32359",
"telephone_number": "352-498-0680",
"fax_number": "352-498-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HARITKUMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020465200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Steinhatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.