Khushbu Mistry

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS57238 Issued in FL

Practice address

4255 US 1 S
Saint Augustine, FL 32086-7046

Phone

(904) 794-1104

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • St Augustine, FL
  • NPI 1124068069
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1780195826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 US 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867046",
            "telephone_number": "904-794-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 US 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867046",
            "telephone_number": "904-794-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "KHUSHBU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kleo Leticia Minor
• Kamlesh Minshew, LMT, E-RYT, MA, BA,
• Kelly R Minter, LMHC
• Lorrie Miot
• Christopher Chase Misso, LMT
• Arielle Mitchell
• Ashley Sue Mitchell, AUD
• Brendan Mitchell, NSSP
• Margaret Mitchell
• Matthew Mitchell, MD

• All providers in Saint Augustine, FL
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.