Organization Active NPI

Mangalmurti LLC

  • Long Term Care Pharmacy
  • Eustis, FL
National Provider Identifier
1912744558
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MANGALMURTI LLC
Doing business as
MOUNT DORA PHARMACY
Practice address
17435 US Highway 441 Ste 102
Eustis, FL 32726
Phone
(352) 357-1406
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Jimin K Patel
Title
Owner
Phone
(352) 357-1406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

17435 US Highway 441 Ste 102
Eustis, FL 32726

Mailing address

17435 US Highway 441 Ste 102
Mount Dora, FL 32757-6750
Phone (352) 357-1406

Other names 1

  • MOUNT DORA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1912744558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17435 US HIGHWAY 441 STE 102",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576750",
            "telephone_number": "352-357-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 US HIGHWAY 441 STE 102",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32726",
            "telephone_number": "352-357-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGALMURTI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIMIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-357-1406"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT DORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.