MEDICARE: MR. JANAK JASHBHAI PATEL RPH

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	183500000X	Pharmacist	PS35418	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225633894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JANAK JASHBHAI PATEL RPH

Provider Business Mailing Address
First Line	:	6790 CENTRAL FLORIDA PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-6025
Country	:	US
Telephone Number	:	407-238-4726
Fax Number	:	407-238-4627

Provider Business Practice Location Address
First Line	:	6790 CENTRAL FLORIDA PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-6025
Country	:	US
Telephone Number	:	407-238-4726
Fax Number	:	407-238-4627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	12/02/2020

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