Active NPI
Bisht LLC
- Community/Retail Pharmacy
- Arcadia, FL
National Provider Identifier
1710280458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25124
- Legal business name
- BISHT LLC
- Practice address
- 301 N Brevard Ave
Ste E
Arcadia, FL 34266-4501 - Phone
- (863) 491-7415
- Fax
- (863) 491-7416
- NPI assigned
- Dec 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roshan Bisht
- Title
- President
- Phone
- (727) 637-2922
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH25124 | FL | Primary |
Addresses
Primary practice location
301 N Brevard Ave
Ste E
Arcadia, FL 34266-4501
Mailing address
301 N Brevard Ave
Ste E
Arcadia, FL 34266-4501
Phone (863) 491-7415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5703308 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- desoto pharmacy
National Provider Directory
National Provider DirectoryLocations
301 N Brevard Ave
#E
Arcadia, FL 34266
Phone (863) 491-7415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396915200000",
"number": "1710280458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N BREVARD AVE",
"address_2": "STE E",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342664501",
"telephone_number": "863-491-7415",
"fax_number": "863-491-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N BREVARD AVE",
"address_2": "STE E",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342664501",
"telephone_number": "863-491-7415",
"fax_number": "863-491-7416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BISHT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-20",
"last_updated": "2014-04-08",
"status": "A",
"authorized_official_last_name": "BISHT",
"authorized_official_first_name": "ROSHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-637-2922"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5703308",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "desoto pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.