Individual provider Active NPI

Pranavkumar K Patel, RPH

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1841877784
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS57788 Issued in FL
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
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS57788FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Care Pharmacy LLC CurrentSince Mar 28, 2021 Accepting new patients
Tampa Pharmacy 01 LLC CurrentSince May 22, 2022 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.