NPIMap

Individual provider Active NPI

Rajesh Arvindbhai Patel, PHARMACIST

  • Pharmacist
  • Cocoa, FL
National Provider Identifier
1790050946
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 37521 Issued in FL
Practice address
6801 N US Highway 1 Ste 1
Cocoa, FL 32927-5095
Phone
(407) 488-6851
Fax
(321) 639-0856
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 37521 FL Primary

Addresses

Primary practice location

6801 N US Highway 1 Ste 1
Cocoa, FL 32927-5095

Mailing address

6801 N US Highway 1 Ste 1
Cocoa, FL 32927-5095
Phone (407) 488-6851

Other identifiers 1

IdentifierTypeStateIssuer
001149900MedicaidFL

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

LicenseStateTypeSpecialty
PS 37521FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Centrix Pharmacy LLC Current Accepting new patients
Jaber's Pharmacy Inc Current Accepting new patients
PSJ Pharmacy LLC Past Accepting new patients
Titusville Pharmacy LLC Past Accepting new patients
Brevard Pharmacy L.L.C. Past Accepting new patients
Brevard Pharmacy LLC Past Accepting new patients
PSJ Pharmacy LLC Past Accepting new patients
Brevard Pharmacy LLC Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1790050946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 N US HIGHWAY 1 STE 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275095",
            "telephone_number": "407-488-6851",
            "fax_number": "321-639-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 N US HIGHWAY 1 STE 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275095",
            "telephone_number": "407-488-6851",
            "fax_number": "321-639-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJESH",
        "middle_name": "ARVINDBHAI",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 37521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001149900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.