Active NPI
Vaidehi Patel
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1992379002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS44004
- Practice address
- 1824 King St Ste 300
Jacksonville, FL 32204-4736 - Phone
- (904) 308-1820
- NPI assigned
- May 14, 2021
- Sex
- Female
- 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 | PS44004 | FL | Primary |
Addresses
Primary practice location
1824 King St Ste 300
Jacksonville, FL 32204-4736
Mailing address
3068 Brettungar Dr
Jacksonville, FL 32246-5503
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS44004 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1992379002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3068 BRETTUNGAR DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322465503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 KING ST STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044736",
"telephone_number": "904-308-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VAIDEHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.