Active NPI
Gautam H Patel, RPH
- Pharmacist
- Lantana, FL
National Provider Identifier
1942331848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS24107
- Practice address
- 1250 Southwinds Dr
Lantana, FL 33462-1459 - Phone
- (561) 209-2575
- NPI assigned
- Mar 9, 2007
- 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 | PS24107 | FL | Primary |
Addresses
Primary practice location
1250 Southwinds Dr
Lantana, FL 33462-1459
Mailing address
1250 Southwinds Dr
Lantana, FL 33462-1459
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS24107 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1942331848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SOUTHWINDS DR",
"city": "LANTANA",
"state": "FL",
"postal_code": "334621459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SOUTHWINDS DR",
"city": "LANTANA",
"state": "FL",
"postal_code": "334621459",
"telephone_number": "561-209-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "GAUTAM",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS24107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.