Individual provider Active NPI

Purvi Chudasama, PHARMD

  • Pharmacist
  • Pensacola, FL
National Provider Identifier
1225325152
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH025137 Issued in GA
Practice address
1525 E Nine Mile Rd
Pensacola, FL 32514-5725
Phone
(850) 462-6528
Fax
(850) 462-6527
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X ALBOP17572 AL
Pharmacist 183500000X PS50282 FL
Pharmacist 183500000X RPH025137 GA Primary

Addresses

Primary practice location

1525 E Nine Mile Rd
Pensacola, FL 32514-5725

Mailing address

1525 E Nine Mile Rd
Pensacola, FL 32514-5725
Phone (850) 462-6528

Other practice location 1

13055 Highway 9 N
Alpharetta, GA 30004-5137
Phone (770) 225-1781

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

LicenseStateTypeSpecialty
ALBOP17572ALMDPharmacist
PS50282FLMDPharmacist
RPH025137GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP PastSince Nov 15, 2020 Accepting new patients

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1225325152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145725",
            "telephone_number": "850-462-6528",
            "fax_number": "850-462-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145725",
            "telephone_number": "850-462-6528",
            "fax_number": "850-462-6527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13055 Highway 9 N",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300045137",
            "country_code": "US",
            "telephone_number": "770-225-1781",
            "fax_number": "770-225-1791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDASAMA",
        "first_name": "PURVI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "ALBOP17572",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50282",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.