Individual provider Active NPI

Bhavin D Shah

  • Pharmacist
  • St Petersburg, FL
National Provider Identifier
1497407712
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS45602 Issued in FL
Practice address
4910 34TH St S
Saint Petersburg, FL 33711-4512
Phone
(727) 867-4900
Fax
(855) 659-5991
NPI assigned
Jan 19, 2022
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS45602 FL Primary

Addresses

Primary practice location

4910 34TH St S
Saint Petersburg, FL 33711-4512

Mailing address

4910 34TH St S
Saint Petersburg, FL 33711-4512
Phone (727) 867-4900

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
PS45602FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripts Pharmacy LLC CurrentSince Jan 26, 2022 Accepting new patients
Scripts Pharmacy LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

4910 34th St S
St Petersburg, FL 33711
Phone (727) 867-4466

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1497407712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 34TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114512",
            "telephone_number": "727-867-4900",
            "fax_number": "855-659-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 34TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114512",
            "telephone_number": "727-867-4900",
            "fax_number": "855-659-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHAVIN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS45602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.