Bhaveshkumar Patel
Individual provider Active NPI Pharmacist · Riverview, FL
NPI 1508469040 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1508469040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS48505 (FL)
- Practice address
- 11342 American Holly Dr
Riverview, FL 33578-0005 - Phone
- (813) 900-4995
- NPI assigned
- Nov 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48505 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerds Pharmacy LLC | Current | Accepting new patients | |
| Eckerds Pharmacy LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | PS48505 | FL | Yes |
Addresses
Primary practice location
11342 American Holly Dr
Riverview, FL 33578-0005
Mailing address
11342 American Holly Dr
Riverview, FL 33578-0005
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.