NPIMap

Organization Active NPI

Shri Govind LLC

Doing business as Flagler Pharmacy

  • Community/Retail Pharmacy
  • Flagler Beach, FL
National Provider Identifier
1346747375
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH31331 Issued in FL
Legal business name
SHRI GOVIND LLC
Doing business as
Flagler Pharmacy
Practice address
200 Moody Blvd
Flagler Beach, FL 32136-3372
Phone
(386) 439-2039
Fax
(386) 246-7571
NPI assigned
Apr 6, 2018
Last updated
Sep 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Mr. Prashant K Patel, MS, MBA, R PHNPI 1053659425
Title
Pharmacy Manager
Phone
(904) 728-7283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH31331 FL Primary

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 1

  • FLAGLER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615003518 FL Part B Supplier - Mass Immunization (Roster Biller Only) 9739501073 Practice locations: Flagler Beach, FL

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1346747375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOODY BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363372",
            "telephone_number": "386-777-0777",
            "fax_number": "386-426-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOODY BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363372",
            "telephone_number": "386-439-2039",
            "fax_number": "386-246-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI GOVIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "904-728-7283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MBA, R PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLAGLER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagler Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.