Active NPI
Pranavkumar K Patel, RPH
- Pharmacist
- Tampa, FL
National Provider Identifier
1841877784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57788
- Practice address
- 14306D N Dale Mabry Hwy Ste D
Tampa, FL 33618-2018 - Phone
- (813) 963-6800
- Fax
- (813) 963-6889
- NPI assigned
- Mar 26, 2021
- Last updated
- Mar 26, 2021
- 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 | PS57788 | FL | Primary |
Addresses
Primary practice location
14306D N Dale Mabry Hwy Ste D
Tampa, FL 33618-2018
Mailing address
14306D N Dale Mabry Hwy Ste D
Tampa, FL 33618-2018
Phone (813) 963-6800
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS57788 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Pharmacy 01 LLC | Current | Accepting new patients | |
| New Care Pharmacy LLC | Current | Accepting new patients |
Locations
14306 N Dale Mabry Hwy
Ste D
Tampa, FL 33618
Phone (813) 963-6800
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, 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": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1841877784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14306D N DALE MABRY HWY STE D",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182018",
"telephone_number": "813-963-6800",
"fax_number": "813-963-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14306D N DALE MABRY HWY STE D",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182018",
"telephone_number": "813-963-6800",
"fax_number": "813-963-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRANAVKUMAR",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.