Individual provider Active NPI

Sanjay Patel, RPH.

  • Pharmacist
  • Winter Park, FL
National Provider Identifier
1689969248
Registry record updated Jun 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS27418 Issued in FL
Practice address
3770 N Goldenrod Rd
Winter Park, FL 32792-8832
Phone
(407) 670-0389
Fax
(407) 671-2080
NPI assigned
Jun 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS27418 FL Primary

Addresses

Primary practice location

3770 N Goldenrod Rd
Winter Park, FL 32792-8832

Mailing address

3770 N Goldenrod Rd
Winter Park, FL 32792-8832
Phone (407) 670-0389

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS27418FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307836800000",
    "number": "1689969248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 N GOLDENROD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928832",
            "telephone_number": "407-670-0389",
            "fax_number": "407-671-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 N GOLDENROD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928832",
            "telephone_number": "407-670-0389",
            "fax_number": "407-671-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJAY",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-12",
        "last_updated": "2011-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; 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.