Individual provider Active NPI

Bhupendra Haridas Agravat, PHARMACIST

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1417599325
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS29041 Issued in FL
Practice address
4060 N Armenia Ave
Tampa, FL 33607-1002
Phone
(813) 870-3939
Fax
(813) 870-3933
NPI assigned
Oct 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS29041 FL Primary

Addresses

Primary practice location

4060 N Armenia Ave
Tampa, FL 33607-1002

Mailing address

4060 N Armenia Ave
Tampa, FL 33607-1002
Phone (813) 870-3939

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
PS29041FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Drug Shoppe Inc PastSince Oct 13, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1417599325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071002",
            "telephone_number": "813-870-3939",
            "fax_number": "813-870-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071002",
            "telephone_number": "813-870-3939",
            "fax_number": "813-870-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAVAT",
        "first_name": "BHUPENDRA",
        "middle_name": "HARIDAS",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS29041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.