Active NPI
Chetan Nagar
- Pharmacist
- Lakeland, FL
National Provider Identifier
1689293631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56158
- Practice address
- 410 Old Polk City Rd
Lakeland, FL 33809-2314 - Phone
- (863) 815-3373
- NPI assigned
- Apr 9, 2020
- 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 | RPH031898 | GA | |
| Pharmacist | 183500000X | PS56158 | FL | Primary |
Addresses
Primary practice location
410 Old Polk City Rd
Lakeland, FL 33809-2314
Mailing address
3783 Rollingsford Cir
Lakeland, FL 33810-3862
Phone (941) 350-7331
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 |
|---|---|---|---|
| PS56158 | FL | MD | Pharmacist |
| RPH031898 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1689293631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3783 ROLLINGSFORD CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103862",
"telephone_number": "941-350-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 OLD POLK CITY RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338092314",
"telephone_number": "863-815-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAR",
"first_name": "CHETAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-09",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031898",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.