Individual provider Active NPI

Vipul Patel

  • Pharmacist
  • Land O Lakes, FL
National Provider Identifier
1902483571
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37217 Issued in FL
Practice address
2646 Narnia Way Unit 101
Land O Lakes, FL 34638-7269
Phone
(813) 388-6875
Fax
(813) 388-6871
NPI assigned
Mar 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 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 PS37217 FL Primary

Addresses

Primary practice location

2646 Narnia Way Unit 101
Land O Lakes, FL 34638-7269

Mailing address

2646 Narnia Way Unit 101
Land O Lakes, FL 34638-7269
Phone (813) 388-6875

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
PS37217FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jai Bohle Inc CurrentSince Apr 6, 2021 Accepting new patients

Locations

2646 Narnia Way
Unit 101
Land O Lakes, FL 34638
Phone (813) 388-6875

Organizations & group practices 1

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1902483571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 NARNIA WAY UNIT 101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387269",
            "telephone_number": "813-388-6875",
            "fax_number": "813-388-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 NARNIA WAY UNIT 101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387269",
            "telephone_number": "813-388-6875",
            "fax_number": "813-388-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.