Shilpesh Bhukhan
Individual provider Active NPI Pharmacist · Tavares, FL
NPI 1831719129 · NPPES record last updated Apr 16, 2020
Key facts
- NPI
- 1831719129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS51275 (FL)
- Practice address
- 680 E Burleigh Blvd
Tavares, FL 32778-2208 - Phone
- (352) 253-0289
- NPI assigned
- Apr 16, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS51275 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
680 E Burleigh Blvd
Tavares, FL 32778
Phone (352) 253-0289
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS51275 | FL | Yes |
Addresses
Primary practice location
680 E Burleigh Blvd
Tavares, FL 32778-2208
Mailing address
713 Tranquil TRL
Winter Garden, FL 34787-5944
Phone (813) 786-0378
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.