Active NPI
Nibodh S Patel, RPH
- Pharmacist
- Tamarac, FL
National Provider Identifier
1174800270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS30877
- Practice address
- 6401 W Commercial Blvd
Tamarac, FL 33319-2110 - Phone
- (954) 720-9243
- NPI assigned
- Nov 3, 2011
- Last updated
- Nov 3, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS30877 | FL | Primary |
| Pharmacist | 183500000X | 11899 | SC | |
| Pharmacist | 183500000X | 19377 | NC |
Addresses
Primary practice location
6401 W Commercial Blvd
Tamarac, FL 33319-2110
Mailing address
10940 NW 24TH St
Coral Springs, FL 33065-3641
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS30877 | FL | MD | Pharmacist |
| 11899 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1174800270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10940 NW 24TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 W COMMERCIAL BLVD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192110",
"telephone_number": "954-720-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIBODH",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS30877",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11899",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19377",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.