Active NPI
Nita A Patel
- Pharmacist
- Deltona, FL
National Provider Identifier
1851876080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS34130
- Practice address
- 1569 Saxon Blvd
Deltona, FL 32725-5833 - Phone
- (386) 457-6190
- Fax
- (386) 457-6187
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- 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 | PS34130 | FL | Primary |
Addresses
Primary practice location
1569 Saxon Blvd
Deltona, FL 32725-5833
Mailing address
7 Double Palm Way
Ormond Beach, FL 32174-1864
Phone (732) 685-1694
Other practice location 1
1569 Saxon Blvd
Deltona, FL 32725-5833
Phone (386) 457-6190
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS34130 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
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.
-
dba Walmart Pharmacy 10-6398
- Community/Retail Pharmacy
- Deltona, FL
- NPI 1689057275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1851876080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOUBLE PALM WAY",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321741864",
"telephone_number": "732-685-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 SAXON BLVD",
"city": "DELTONA",
"state": "FL",
"postal_code": "327255833",
"telephone_number": "386-457-6190",
"fax_number": "386-457-6187"
}
],
"practiceLocations": [
{
"address_1": "1569 Saxon Blvd",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327255833",
"country_code": "US",
"telephone_number": "386-457-6190",
"fax_number": "386-457-6187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NITA",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.