Individual provider Active NPI

Ronakkumar Patel

  • Pharmacist
  • Cocoa, FL
National Provider Identifier
1649640178
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS52339 Issued in FL
Practice address
6801 N US Highway 1
Suite 1
Cocoa, FL 32927-5084
Phone
(321) 637-0911
Fax
(321) 639-0856
NPI assigned
Sep 26, 2015
Last updated
Sep 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS52339 FL Primary

Addresses

Primary practice location

6801 N US Highway 1
Suite 1
Cocoa, FL 32927-5084

Mailing address

6801 N US Highway 1
Suite 1
Cocoa, FL 32927-5084
Phone (321) 637-0911

Other identifiers 1

IdentifierTypeStateIssuer
PS52339OtherFLPHARMACIST LICENCE

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
PS52339FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riaan Pharmacy LLC Current Accepting new patients
PSJ Pharmacy LLC Past Accepting new patients
PSJ Pharmacy LLC Past Accepting new patients

Organizations & group practices 3

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": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443225600000",
    "number": "1649640178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 N US HIGHWAY 1",
            "address_2": "SUITE 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275084",
            "telephone_number": "321-637-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 N US HIGHWAY 1",
            "address_2": "SUITE 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275084",
            "telephone_number": "321-637-0911",
            "fax_number": "321-639-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RONAKKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENCE",
            "identifier": "PS52339",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.