Pinky K Desai

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS47101 Issued in FL

Practice address

4347 University Blvd S Ste 3
Jacksonville, FL 32216-4966

Phone

(904) 329-2251

Fax

(904) 329-2384

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Goverdhan LLC

  • Community/Retail Pharmacy
  • Jacksonville, FL
  • NPI 1043627367
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1992289557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 UNIVERSITY BLVD S STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164966",
            "telephone_number": "904-329-2251",
            "fax_number": "904-329-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 UNIVERSITY BLVD S STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164966",
            "telephone_number": "904-329-2251",
            "fax_number": "904-329-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PINKY",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PS47101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krupa H Desai, ARNP
• Madhura Desai, MD
• Manali Desai
• Mihir Desai, DO
• Parth Desai
• Roshni Pradip Desai, PA-C
• Sangita Raj Desai
• Drew Marie Desalvo, PA
• Laura A. Desanctis, PA-C
• Cassidy Descallar, N.P.

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.