Active NPI
Bhavesh Bhakta
- Pharmacist
- Beverly Hills, FL
National Provider Identifier
1184984544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42287
- Practice address
- 4609 W Osage PL
Beverly Hills, FL 34465-2855 - Phone
- (352) 270-8633
- NPI assigned
- May 20, 2012
- Last updated
- May 20, 2012
- 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 | PS42287 | FL | Primary |
| Pharmacist | 183500000X | 37885 | TX |
Addresses
Primary practice location
4609 W Osage PL
Beverly Hills, FL 34465-2855
Mailing address
4609 W Osage PL
Beverly Hills, FL 34465-2855
Phone (352) 270-8633
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 |
|---|---|---|---|
| PS42287 | FL | MD | Pharmacist |
| 37885 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337472000000",
"number": "1184984544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4609 W OSAGE PL",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344652855",
"telephone_number": "352-270-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4609 W OSAGE PL",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344652855",
"telephone_number": "352-270-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "BHAVESH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-20",
"last_updated": "2012-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42287",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "37885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.