Individual provider Active NPI

Nirav Patel, RPH

  • Pharmacist
  • Lake Park, FL
National Provider Identifier
1710415112
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37500 Issued in FL
Practice address
228 US Highway 1
Lake Park, FL 33403-3552
Phone
(561) 844-1191
Fax
(561) 842-1588
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS37500 FL Primary

Addresses

Primary practice location

228 US Highway 1
Lake Park, FL 33403-3552

Mailing address

228 US Highway 1
Lake Park, FL 33403-3552
Phone (561) 844-1191

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
PS37500FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CND3 Inc CurrentSince Jul 24, 2022 Accepting new patients
CND3 Inc PastSince Jul 24, 2022 Accepting new patients

Locations

228 US Highway 1
West Palm Beach, FL 33403
Phone (561) 844-1191

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710415112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 US HIGHWAY 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033552",
            "telephone_number": "561-844-1191",
            "fax_number": "561-842-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 US HIGHWAY 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033552",
            "telephone_number": "561-844-1191",
            "fax_number": "561-842-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAV",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.