Individual provider Active NPI

Krunal Karavadia

  • Pharmacist
  • Orange Park, FL
National Provider Identifier
1124453295
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS64425 Issued in FL
Practice address
997 Blanding Blvd Ste 5
Orange Park, FL 32065-6790
Phone
(856) 725-6905
NPI assigned
Sep 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03559900 NJ
Pharmacist 183500000X PS64425 FL Primary

Addresses

Primary practice location

997 Blanding Blvd Ste 5
Orange Park, FL 32065-6790

Mailing address

39 Navigators Rd
Saint Johns, FL 32259-6323
Phone (856) 725-6905

Other identifiers 3

IdentifierTypeStateIssuer
28RI03559900OtherNJNEW JERSEY BOARD OF PHARMACY
28RJ04761OtherNJNJ BOARD OF PHARMACY
PS64425OtherFLFLORIDA BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
PS64425FLMDPharmacist
28RI03559900NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Pharmacy LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

997 Blanding Blvd
Ste 5
Orange Park, FL 32065
Phone (856) 725-6905

Organizations & group practices 1

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1124453295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NAVIGATORS RD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596323",
            "telephone_number": "856-725-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 BLANDING BLVD STE 5",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656790",
            "telephone_number": "856-725-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAVADIA",
        "first_name": "KRUNAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03559900",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS64425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD OF PHARMACY",
            "identifier": "28RI03559900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY",
            "identifier": "28RJ04761",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHARMACY",
            "identifier": "PS64425",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.