Active NPI
Jagruti Patel
- Pharmacist
- Orlando, FL
National Provider Identifier
1457074494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53885
- Practice address
- 4585 Gardens Park Blvd Apt 6310
Orlando, FL 32839-2729 - Phone
- (817) 239-2492
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- 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 | PS53885 | FL | Primary |
Addresses
Primary practice location
4585 Gardens Park Blvd Apt 6310
Orlando, FL 32839-2729
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
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 |
|---|---|---|---|
| PS53885 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1457074494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4585 GARDENS PARK BLVD APT 6310",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328392729",
"telephone_number": "817-239-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAGRUTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.