Individual provider Active NPI

Manish H Patel, R.PH

  • Pharmacist
  • South Daytona, FL
National Provider Identifier
1114249927
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37317 Issued in FL
Practice address
815 Beville Rd
Suite#D
South Daytona, FL 32119-1858
Phone
(386) 322-5969
Fax
(386) 322-0626
NPI assigned
Feb 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH23268 FL
Pharmacist 183500000X PS37317 FL Primary

Addresses

Primary practice location

815 Beville Rd
Suite#D
South Daytona, FL 32119-1858

Mailing address

815 Beville Rd
Suite#D
South Daytona, FL 32119-1858
Phone (386) 322-5969

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH23268FLMDPharmacist
PS37317FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daytona Discount Pharmacy, Inc Current Accepting new patients
Daytona Discount Pharmacy, Inc Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1114249927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BEVILLE RD",
            "address_2": "SUITE#D",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191858",
            "telephone_number": "386-322-5969",
            "fax_number": "386-322-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BEVILLE RD",
            "address_2": "SUITE#D",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191858",
            "telephone_number": "386-322-5969",
            "fax_number": "386-322-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISH",
        "middle_name": "H",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-20",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH23268",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.