Active NPI
Aditya Mani Perumal, PHARM D
- Pharmacist
- St Augustine, FL
National Provider Identifier
1932806817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PSI37987
- Practice address
- 1201 Arapaho Ave
Saint Augustine, FL 32084-4203 - Phone
- (904) 829-9919
- Fax
- (904) 829-2617
- NPI assigned
- Feb 13, 2023
- Last updated
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- No
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 | PSI37987 | FL | Primary |
Addresses
Primary practice location
1201 Arapaho Ave
Saint Augustine, FL 32084-4203
Mailing address
140 Historic Brick LN
St Augustine, FL 32095-8020
Phone (904) 386-5975
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSI37987 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Care Inc | Current | Accepting new patients |
Locations
1201 Arapaho Ave
St Augustine, FL 32084
Phone (904) 794-7000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neuromusculoskeletal Medicine & OMM Physician
- St Augustine, FL
- NPI 1972791085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1932806817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HISTORIC BRICK LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958020",
"telephone_number": "904-386-5975",
"fax_number": "904-829-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ARAPAHO AVE",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320844203",
"telephone_number": "904-829-9919",
"fax_number": "904-829-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERUMAL",
"first_name": "ADITYA",
"middle_name": "MANI",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PSI37987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.