Individual provider Active NPI

Deepak Dalsukh Nathoo

  • Pharmacist
  • Casselberry, FL
National Provider Identifier
1972880607
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS20496 Issued in FL
Practice address
4410 S US Highway 17/92
T0898
Casselberry, FL 32707-3290
Phone
(407) 830-6363
NPI assigned
Nov 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS20496 FL Primary
Pharmacist 183500000X 26015009A IN

Addresses

Primary practice location

4410 S US Highway 17/92
T0898
Casselberry, FL 32707-3290

Mailing address

4410 S US Highway 17/92
T0898
Casselberry, FL 32707-3290
Phone (407) 830-6363

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
PS20496FLMDPharmacist
26015009AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1972880607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 S US HIGHWAY 17/92",
            "address_2": "T0898",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073290",
            "telephone_number": "407-830-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 S US HIGHWAY 17/92",
            "address_2": "T0898",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073290",
            "telephone_number": "407-830-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHOO",
        "first_name": "DEEPAK",
        "middle_name": "DALSUKH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS20496",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26015009A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.