MEDICARE: NARAYAN PHARMACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1031501	OTHER	FL	NCPDP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871778225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NARAYAN PHARMACY, LLC

Provider Business Mailing Address
First Line	:	320 W FLETCHER AVE STE 108
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3400
Country	:	US
Telephone Number	:	813-971-8401
Fax Number	:	813-971-8708

Provider Business Practice Location Address
First Line	:	320 W FLETCHER AVE STE 108
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3400
Country	:	US
Telephone Number	:	813-971-8401
Fax Number	:	813-971-8708

Authorized Official
Title or Position	:	OWNER
Name	:	RAJESH PATEL
Credential	:
Telephone Number	:	813-971-8401

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	09/11/2023

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