Active NPI
Suraj Patel, PHARMD
- Pharmacist
- Saint Petersburg, FL
National Provider Identifier
1447848007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57163
- Practice address
- 5000 Park St N
Saint Petersburg, FL 33709-2221 - Phone
- (727) 954-8213
- NPI assigned
- Jan 8, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | PS57163 | FL | |
| Pharmacist | 183500000X | PS57163 | FL | Primary |
Addresses
Primary practice location
5000 Park St N
Saint Petersburg, FL 33709-2221
Mailing address
930 Central Ave Unit 435
Saint Petersburg, FL 33705-1669
Phone (850) 260-2470
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 |
|---|---|---|---|
| PS57163 | FL | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1447848007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 CENTRAL AVE UNIT 435",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337051669",
"telephone_number": "850-260-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 PARK ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337092221",
"telephone_number": "727-954-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SURAJ",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "FL",
"license": "PS57163",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.