Active NPI
Paresh Patel, PHARMACIST
- Pharmacist
- Maitland, FL
National Provider Identifier
1093388746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS27190
- Practice address
- 260 Lookout PL Ste 202P
Maitland, FL 32751-4485 - Phone
- (321) 594-4653
- NPI assigned
- Jul 21, 2021
- Last updated
- Jul 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS27190 | FL | Primary |
| Psychiatric Pharmacist | 1835P1300X | PS27190 | FL |
Addresses
Primary practice location
260 Lookout PL Ste 202P
Maitland, FL 32751-4485
Mailing address
260 Lookout PL Ste 202P
Maitland, FL 32751-4485
Phone (321) 594-4653
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 |
|---|---|---|---|
| PS27190 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Current | Accepting new patients | |
| Genoa Healthcare LLC | Past | Accepting new patients |
Locations
260 Lookout Pl
Ste 202P
Maitland, FL 32751
Phone (321) 594-4653
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.
-
- Long Term Care Pharmacy
- Maitland, FL
- NPI 1134710544
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1093388746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 LOOKOUT PL STE 202P",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514485",
"telephone_number": "321-594-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 LOOKOUT PL STE 202P",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514485",
"telephone_number": "321-594-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PARESH",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS27190",
"primary": true
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "FL",
"license": "PS27190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.