Active NPI
Vrunda Patel, PHARM.D.
- Pharmacist
- Orlando, FL
National Provider Identifier
1104420322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54467
- Practice address
- 10425 Narcoossee Rd
Orlando, FL 32832-6902 - Phone
- (407) 384-9353
- NPI assigned
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 | PS54467 | FL | Primary |
Addresses
Primary practice location
10425 Narcoossee Rd
Orlando, FL 32832-6902
Mailing address
12903 Bovet Ave
Orlando, FL 32827-7707
Phone (815) 701-6945
Other names 1
- Vrunda Thalla
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | IntercomPlus | Direct |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS54467 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1104420322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12903 BOVET AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277707",
"telephone_number": "815-701-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10425 NARCOOSSEE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326902",
"telephone_number": "407-384-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VRUNDA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54467",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "IntercomPlus",
"affiliation": "N",
"endpointDescription": "Walgreens System",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10425 Narcoossee Rd",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328326902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VRUNDA",
"last_name": "THALLA",
"credential": "PHARM.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.