Organization Active NPI

Shri Govind LLC

Doing business as Flagler PHARMACY

  • Long Term Care Pharmacy
  • Flagler Beach, FL
National Provider Identifier
1487255154
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SHRI GOVIND LLC
Doing business as
Flagler PHARMACY
Practice address
200 Moody Blvd
Flagler Beach, FL 32136-3372
Phone
(386) 777-0777
Fax
(386) 222-0222
NPI assigned
Nov 8, 2020
Last updated
Nov 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SHRI GOVIND LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Authorized official

Name
Prashant K Patel, MS, MBA, R PHNPI 1053659425
Title
Pharmacist in Charge
Phone
(386) 777-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

200 Moody Blvd
Flagler Beach, FL 32136-3372

Mailing address

200 Moody Blvd
Flagler Beach, FL 32136-3372
Phone (386) 777-0777

Other identifiers 1

IdentifierTypeStateIssuer
100566700MedicaidFL

Other names 1

  • Flagler PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
Shri Govind LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604793600000",
    "number": "1487255154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOODY BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363372",
            "telephone_number": "386-777-0777",
            "fax_number": "386-222-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOODY BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363372",
            "telephone_number": "386-777-0777",
            "fax_number": "386-222-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI GOVIND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHRI GOVIND LLC",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "386-777-0777",
        "authorized_official_credential": "MS, MBA, R PH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100566700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagler Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; 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.