Active NPI
Bhagavan Gottipati
- Pharmacist
- Saint Petersburg, FL
National Provider Identifier
1780076018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37591
- Practice address
- 1049 62ND Ave N
Saint Petersburg, FL 33702-7419 - Phone
- (727) 525-0700
- Fax
- (725) 525-0901
- NPI assigned
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS37591 | FL | Primary |
Addresses
Primary practice location
1049 62ND Ave N
Saint Petersburg, FL 33702-7419
Mailing address
1049 62ND Ave N
Saint Petersburg, FL 33702-7419
Phone (727) 525-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106404500 | Medicaid | FL |
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 |
|---|---|---|---|
| PS37591 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zephyrhills Pharmacy LLC | Current | 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.
-
- Community/Retail Pharmacy
- Zephyrhills, FL
- NPI 1427562412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1780076018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 62ND AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337027419",
"telephone_number": "727-525-0700",
"fax_number": "725-525-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 62ND AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337027419",
"telephone_number": "727-525-0700",
"fax_number": "725-525-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTIPATI",
"first_name": "BHAGAVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106404500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.