Shivani Mehta, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS65335 Issued in FL

Practice address

780 SE Baya Dr
Lake City, FL 32025-5403

Phone

(386) 755-6677

NPI assigned

Apr 18, 2025

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Damol Inc

  dba Adonai Pharmacy

  • Community/Retail Pharmacy
  • Leesburg, FL
  • NPI 1962719211
  NPD (past)
• Gateway Prescription Center Inc

  • Oxygen Equipment & Supplies (DME)
  • Lake City, FL
  • NPI 1780281881
  NPD (past)
• Gateway Prescription Center, Inc

  dba Baya Pharmacy West

  • Pharmacy
  • Lake City, FL
  • NPI 1275510208
  NPD (past)

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1417743063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NW MADISON ST APT 228",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553925",
            "telephone_number": "352-587-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255403",
            "telephone_number": "386-755-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 W US Highway 90 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320556154",
            "country_code": "US",
            "telephone_number": "386-755-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 S Lake St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347486059",
            "country_code": "US",
            "telephone_number": "352-460-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHIVANI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS65335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edma I Medina, PHARM.D.
• Raul Edgardo Medina, M.D.
• Tami Renee Meeks, RN
• Mefl, LLC (Miracle Ear Center)
• Sarah E Mehalko
• Melanie Holden, DMD, PLLC
• Matthew Neil Melvin, ARNP
• Grace Elbo Mercurio, A.R.N.P.
• Mercy Home Assisted Living Facility LLC
• Mercy Medical Urgent Care Center

• Pharmacist in Lake City, FL
• Providers in Lake City, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.