Individual provider Active NPI

Nickhil Bhavesh Patel, PHARM.D

  • Pharmacist
  • Kissimmee, FL
National Provider Identifier
1679123137
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59659 Issued in FL
Practice address
3839 Pleasant Hill Rd
Kissimmee, FL 34746-2952
Phone
(407) 343-7878
NPI assigned
Sep 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59659 FL Primary

Addresses

Primary practice location

3839 Pleasant Hill Rd
Kissimmee, FL 34746-2952

Mailing address

10971 Savannah Landing Cir
Orlando, FL 32832-5104
Phone (321) 482-1901

Other practice location 1

2583 S Volusia Ave Ste 100
Orange City, FL 32763-9129
Phone (386) 774-5800

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS59659FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Accardi Clinical Services Inc Past Accepting new patients
Publix Super Markets Inc PastSince Sep 25, 2019 Accepting new patients
Publix Super Markets Inc PastSince Sep 25, 2019 Accepting new patients
Accardi Clinical Services Inc Past Accepting new patients

Organizations & group practices 4

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1679123137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10971 SAVANNAH LANDING CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325104",
            "telephone_number": "321-482-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462952",
            "telephone_number": "407-343-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2583 S Volusia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327639129",
            "country_code": "US",
            "telephone_number": "386-774-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NICKHIL",
        "middle_name": "BHAVESH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.