Individual provider Active NPI

Devang N Modi, R.PH,MS

  • Pharmacist
  • Palm Bay, FL
National Provider Identifier
1598176778
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH27315 Issued in FL
Practice address
5055 Babcock St NE
Suite 3
Palm Bay, FL 32905-4673
Phone
(201) 993-5814
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH27315 FL Primary

Addresses

Primary practice location

5055 Babcock St NE
Suite 3
Palm Bay, FL 32905-4673

Mailing address

1515 Palm Bay Rd Ste 108
Melbourne, FL 32905-3863
Phone (201) 993-5814

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

LicenseStateTypeSpecialty
PH27315FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maheem Enterprise LLC CurrentSince Sep 10, 2023 Accepting new patients
Maheem Enterprise LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

5055 Babcock St NE
Ste 3
Palm Bay, FL 32905
Phone (201) 993-5814

1515 Palm Bay Rd
Ste 108
Palm Bay, FL 32905
Phone (321) 499-3999

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1598176778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PALM BAY RD STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329053863",
            "telephone_number": "201-993-5814",
            "fax_number": "321-499-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 BABCOCK ST NE",
            "address_2": "SUITE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054673",
            "telephone_number": "201-993-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "DEVANG",
        "middle_name": "N",
        "credential": "R.PH,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH27315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.