Active NPI
Raghavendra Bhatnagar, R.PH
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1477934255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS20469
- Practice address
- 6951 Saint Augustine Rd
Jacksonville, FL 32217-2819 - Phone
- (904) 448-8181
- Fax
- (904) 448-6662
- NPI assigned
- Jun 17, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS20469 | FL | Primary |
Addresses
Primary practice location
6951 Saint Augustine Rd
Jacksonville, FL 32217-2819
Mailing address
6951 Saint Augustine Rd
Jacksonville, FL 32217-2819
Phone (904) 448-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308505 | Other | FL | NABP |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS20469 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fzaipan Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Compounding Pharmacy
- Jacksonville, FL
- NPI 1396863478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1477934255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6951 SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172819",
"telephone_number": "904-448-8181",
"fax_number": "904-448-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6951 SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172819",
"telephone_number": "904-448-8181",
"fax_number": "904-448-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATNAGAR",
"first_name": "RAGHAVENDRA",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS20469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "308505",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.