Individual provider Active NPI

Udaykumar J Desai, B.PHARM

  • Pharmacist
  • Davenport, FL
National Provider Identifier
1487612693
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS35584 Issued in FL
Practice address
40230 US Highway 27 N
100-110
Davenport, FL 33837-2636
Phone
(855) 633-6948
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS35584 FL Primary
Pharmacist 183500000X 050712 NY

Addresses

Primary practice location

40230 US Highway 27 N
100-110
Davenport, FL 33837-2636

Mailing address

2038 Autumn View Dr
Orlando, FL 32825-7425
Phone (407) 482-0785

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
050712NYMDDentist
PS35584FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medoz Pharmacy of Polk LLC Current Accepting new patients
Medoz Pharmacy of Polk Inc Current Accepting new patients

Locations

40230 Highway 27
#N100110
Davenport, FL 33837
Phone (855) 633-6948

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447459200000",
    "number": "1487612693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 AUTUMN VIEW DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257425",
            "telephone_number": "407-482-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40230 US HIGHWAY 27 N",
            "address_2": "100-110",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338372636",
            "telephone_number": "855-633-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "UDAYKUMAR",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "B.PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35584",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.