Active NPI
Hetal Patel
- Pharmacist
- Clermont, FL
National Provider Identifier
1316612377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42306
- Practice address
- 16744 Cagan Crossings Blvd Ste 207a
Clermont, FL 34714-4886 - Phone
- (352) 989-5913
- NPI assigned
- Aug 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42306 | FL | Primary |
Addresses
Primary practice location
16744 Cagan Crossings Blvd Ste 207a
Clermont, FL 34714-4886
Mailing address
16744 Cagan Crossings Blvd Ste 207a
Clermont, FL 34714-4886
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 |
|---|---|---|---|
| 42306 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anant LLC | Current | Accepting new patients |
Locations
16744 Cagan Crossings Blvd
Ste 207A
Clermont, FL 34714
Phone (352) 989-5913
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.
-
- Community/Retail Pharmacy
- Clermont, FL
- NPI 1447555396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1316612377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16744 CAGAN CROSSINGS BLVD STE 207A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347144886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16744 CAGAN CROSSINGS BLVD STE 207A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347144886",
"telephone_number": "352-989-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HETAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "42306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.