1801265905 NPI number — MR. NARESH G PRAJAPATI PHARMACIST

Table of content: MR. NARESH G PRAJAPATI PHARMACIST (NPI 1801265905)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801265905 NPI number — MR. NARESH G PRAJAPATI PHARMACIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRAJAPATI
Provider First Name:
NARESH
Provider Middle Name:
G
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMACIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PRAJAPATI
Provider Other First Name:
NARESH
Provider Other Middle Name:
G
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMACIST
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1801265905
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3023 US HIGHWAY 27 N
Provider Second Line Business Mailing Address:
BENZER PHARMACY
Provider Business Mailing Address City Name:
SEBRING
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33870-1630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-471-0007
Provider Business Mailing Address Fax Number:
863-658-2417

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3023 US HIGHWAY 27 N # THN
Provider Second Line Business Practice Location Address:
SEBRING PHARMACY
Provider Business Practice Location Address City Name:
SEBRING
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33870-1630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-471-0007
Provider Business Practice Location Address Fax Number:
863-658-2417
Provider Enumeration Date:
09/18/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  PS52826 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PS52826 . This is a "PHARMACIST" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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