Active NPI
Ankit Shah
- Pharmacist
- Melbourne, FL
National Provider Identifier
1609211895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38620
- Practice address
- 1285 Talon Way
Melbourne, FL 32934-3259 - Phone
- (321) 626-2679
- NPI assigned
- May 1, 2013
- Last updated
- May 1, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS38620 | FL | Primary |
| Pharmacist | 183500000X | 5302034761 | MI |
Addresses
Primary practice location
1285 Talon Way
Melbourne, FL 32934-3259
Mailing address
1285 Talon Way
Melbourne, FL 32934-3259
Phone (321) 626-2679
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS38620 | FL | MD | Pharmacist |
| 5302034761 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1609211895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 TALON WAY",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329343259",
"telephone_number": "321-626-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 TALON WAY",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329343259",
"telephone_number": "321-626-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ANKIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38620",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.