Shri Govind LLC
Organization Active NPI Community/Retail Pharmacy · Flagler Beach, FL
NPI 1346747375 · NPPES record last updated Sep 20, 2018
Key facts
- NPI
- 1346747375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH31331 (FL)
- Legal business name
- SHRI GOVIND LLC
- Practice address
- 200 Moody Blvd
Flagler Beach, FL 32136-3372 - Phone
- (386) 439-2039
- Fax
- (386) 246-7571
- NPI assigned
- Apr 6, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Prashant K Patel, MS, MBA, R PH
- Title
- Pharmacy Manager
- Phone
- (904) 728-7283
Subparts reporting this organization as parent 1
Practitioners 1
-
Prashant K Patel, MS, MBA, R PH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200615003518 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9739501073 | Practice locations: Flagler Beach, FL |
National Provider Directory
Locations
200 Moody Blvd
Flagler Beach, FL 32136
Phone (386) 777-0777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH31331 | FL | Yes |
Addresses
Primary practice location
200 Moody Blvd
Flagler Beach, FL 32136-3372
Mailing address
200 Moody Blvd
Flagler Beach, FL 32136-3372
Phone (386) 777-0777
Other names
- FLAGLER PHARMACY
Other providers in Flagler Beach, FL
- Right at Home Therapy Services LLC
- Ronda Jarvis LCSW LLC
- Todd Rosell
- Candy M Runnoe
- Michael Sambursky
- Shri Govind LLC
- Gena Snead
- Scott David Stafford
- William Edward Starke
- Elizabeth A Stevens
All providers in Flagler Beach, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.