Individual provider Active NPI

Nikul R Panchal

  • Pharmacist
  • Lakeland, FL
National Provider Identifier
1437658895
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS35632 Issued in FL
Practice address
354 Eagles Landing Dr
Lakeland, FL 33810-2999
Phone
(727) 896-0001
NPI assigned
Feb 12, 2018
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS35632FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Corexa Pharmacy LLC CurrentSince May 10, 2020 Accepting new patients
Corexa Pharmacy LLC CurrentSince Oct 22, 2023 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.

Verify at the official NPI Registry.