Active NPI
Nikul R Panchal
- Pharmacist
- Lakeland, FL
National Provider Identifier
1437658895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35632
- Practice address
- 354 Eagles Landing Dr
Lakeland, FL 33810-2999 - Phone
- (727) 896-0001
- NPI assigned
- Feb 12, 2018
- Last updated
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS35632 | FL | Primary |
Addresses
Primary practice location
354 Eagles Landing Dr
Lakeland, FL 33810-2999
Mailing address
19126 Wood Sage Dr
Tampa, FL 33647-3093
Phone (813) 482-7700
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS35632 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corexa Pharmacy LLC | Current | Accepting new patients | |
| Corexa Pharmacy LLC | Current | Accepting new patients |
Locations
354 Eagles Landing Dr
Lakeland, FL 33810
Phone (727) 896-0001
6308 Benjamin Rd
Ste 709
Tampa, FL 33634
Phone (727) 896-0001
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1437658895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19126 WOOD SAGE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473093",
"telephone_number": "813-482-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 EAGLES LANDING DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102999",
"telephone_number": "727-896-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCHAL",
"first_name": "NIKUL",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-12",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.