Individual provider Active NPI

Hardik B Patel

  • Pharmacist
  • Port Charlotte, FL
National Provider Identifier
1366026882
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS61219 Issued in FL
Practice address
2301 Tamiami TRL Ste B
Port Charlotte, FL 33952-3907
Phone
(404) 538-0092
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS61219 FL Primary

Addresses

Primary practice location

2301 Tamiami TRL Ste B
Port Charlotte, FL 33952-3907

Mailing address

2301 Tamiami TRL Ste B
Port Charlotte, FL 33952-3907
Phone (404) 538-0092

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
PS61219FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ishaani Home Care LLC CurrentSince Feb 13, 2022 Accepting new patients
Ishaani LLC CurrentSince May 16, 2021 Accepting new patients

Locations

2301 Tamiami Trl
Ste B
Port Charlotte, FL 33952
Phone (239) 799-7391

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1366026882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523907",
            "telephone_number": "404-538-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523907",
            "telephone_number": "404-538-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HARDIK",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.