Individual provider Active NPI

Kunjal Patel

  • Pharmacist
  • Wimauma, FL
National Provider Identifier
1225403553
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051298410 Issued in IL
Practice address
16640 S US Highway 301 Ste 103
Wimauma, FL 33598-4006
Phone
(813) 812-6062
Fax
(813) 200-3130
NPI assigned
Dec 11, 2015
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58332 FL
Pharmacist 183500000X 051298410 IL Primary

Addresses

Primary practice location

16640 S US Highway 301 Ste 103
Wimauma, FL 33598-4006

Mailing address

16640 S US Highway 301 Ste 103
Wimauma, FL 33598-4006
Phone (813) 812-6062

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
PS58332FLMDPharmacist
051298410ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rishikripa Inc CurrentSince Jun 4, 2023 Accepting new patients
Rishikripa Inc CurrentSince Sep 28, 2021 Accepting new patients

Locations

16640 S US Highway 301
Ste 103
Wimauma, FL 33598
Phone (813) 812-6062

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": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1225403553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16640 S US HIGHWAY 301 STE 103",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984006",
            "telephone_number": "813-812-6062",
            "fax_number": "813-200-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16640 S US HIGHWAY 301 STE 103",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984006",
            "telephone_number": "813-812-6062",
            "fax_number": "813-200-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUNJAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-11",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58332",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051298410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.