NPIMap

Individual provider Active NPI

Yesha R Patel

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1679176861
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS58828 Issued in FL
Practice address
102 S Dale Mabry Hwy
Tampa, FL 33609-2815
Phone
(813) 877-8227
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58828 FL Primary

Addresses

Primary practice location

102 S Dale Mabry Hwy
Tampa, FL 33609-2815

Mailing address

102 S Dale Mabry Hwy
Tampa, FL 33609-2815

Electronic endpoints 11

TypeEndpointUseAffiliation
Other URL Tampa
Other URL Tampa
Other URL Tampa
Other URL Tampa
Other URL Tampa
Other URL Tampa
Other URL Tampa
Other URL Tampa Direct
Other URL Tampa
Other URL Tampa Direct
Other URL Tampa

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
PS58828FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS L.L.C. PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 1

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1679176861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092815",
            "telephone_number": "813-877-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "YESHA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "102 S Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.