MEDICARE: ANISH PATEL PHARMD

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	PS66628	FL

General Provider Information

NPI Number	:	1275398539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANISH PATEL PHARMD

Provider Business Mailing Address
First Line	:	13847 TAMIAMI TRL
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34287-2069
Country	:	US
Telephone Number	:	941-424-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	13847 SOUTH TAMIAMI TRAIL
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34287
Country	:	US
Telephone Number	:	941-424-2700
Fax Number	:

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

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	06/13/2026

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Directions to “ ANISH PATEL PHARMD” Practice Location

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