Active NPI
Vishal Modi, MS RPH
- Pharmacist
- Palm Harbor, FL
National Provider Identifier
1508136938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- FLPS37679
- Practice address
- 3420 E Lake Rd
Palm Harbor, FL 34685-2401 - Phone
- (727) 785-7451
- Fax
- (727) 772-5547
- NPI assigned
- Jan 2, 2012
- Last updated
- Jan 2, 2012
- 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 | FLPS37679 | FL | Primary |
Addresses
Primary practice location
3420 E Lake Rd
Palm Harbor, FL 34685-2401
Mailing address
12822 Retoria Cir
Tampa, FL 33625-4112
Phone (813) 264-2429
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLPS37679 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1325462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325462400000",
"number": "1508136938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12822 RETORIA CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336254112",
"telephone_number": "813-264-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 E LAKE RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852401",
"telephone_number": "727-785-7451",
"fax_number": "727-772-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "VISHAL",
"credential": "MS RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-02",
"last_updated": "2012-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "FLPS37679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
- Morgan Mixon
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- Mobile Hearing Specialists, Inc (TruValue Hearing Aid Outlet)
- Mobile Hearing Specialists, Inc. (TruValue Hearing Aid Outlet)
- Modern Dental Arts, PA (Harborview Dental)
- Molly a Piekut LLC
- Alysha Nicole Monduori, DPT
- Phyllis Ambrose Montali, M.A., CCC-SLP
- Michael Fernando Monzon
- Devin Moore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.