Active NPI
Manish Mehta, PHARMACIST
- Pharmacist
- Spring Hill, FL
National Provider Identifier
1336660919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50006
- Practice address
- 10507 Spring Hill Dr
Spring Hill, FL 34608-5047 - Phone
- (352) 596-1044
- NPI assigned
- Jul 4, 2017
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS50006 | FL | Primary |
Addresses
Primary practice location
10507 Spring Hill Dr
Spring Hill, FL 34608-5047
Mailing address
4723 Birchfield Loop
Spring Hill, FL 34609-0635
Phone (352) 428-5641
Other practice location 1
11373 Cortez Blvd Ste 101
Brooksville, FL 34613-5411
Phone (352) 600-7838
Other practice location 2
14482 Cortez Blvd
Brooksville, FL 34613-5975
Phone (352) 610-4347
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 |
|---|---|---|---|
| PS50006 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Brook Pharmacy LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pine Brook Pharmacy
- Community/Retail Pharmacy
- Brooksville, FL
- NPI 1558596932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336660919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4723 BIRCHFIELD LOOP",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346090635",
"telephone_number": "352-428-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10507 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346085047",
"telephone_number": "352-596-1044"
}
],
"practiceLocations": [
{
"address_1": "11373 Cortez Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135411",
"country_code": "US",
"telephone_number": "352-600-7838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14482 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135975",
"country_code": "US",
"telephone_number": "352-610-4347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "MANISH",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.