Active NPI
Bhargavi S Patel, PHARMD
- Pharmacist
- Winter Haven, FL
National Provider Identifier
1376862482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41605
- Practice address
- 705 1St St S
Winter Haven, FL 33880-3602 - Phone
- (863) 294-7487
- NPI assigned
- May 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH1866 | FL | |
| Pharmacist | 183500000X | PS41605 | FL | Primary |
Addresses
Primary practice location
705 1St St S
Winter Haven, FL 33880-3602
Mailing address
705 1St St S
Winter Haven, FL 33880-3602
Phone (863) 294-7487
Other practice location 1
3120 Kathleen Rd
Lakeland, FL 33810-6707
Phone (863) 853-1087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102496500 | Medicaid | FL |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1866 | FL | MD | Pharmacist |
| PS41605 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients |
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.
-
- Pharmacy
- Lakeland, FL
- NPI 1457523292
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1376862482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 1ST ST S",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803602",
"telephone_number": "863-294-7487",
"fax_number": "863-299-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 1ST ST S",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803602",
"telephone_number": "863-294-7487"
}
],
"practiceLocations": [
{
"address_1": "3120 Kathleen Rd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338106707",
"country_code": "US",
"telephone_number": "863-853-1087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "BHARGAVI",
"middle_name": "S",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PH1866",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102496500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.