NILKANTH VARNI GROUP INC (NV PHARMACY) - NPI NUMBER 1447555396

Summary

Provider Name: NILKANTH VARNI GROUP INC (NV PHARMACY)

NPI Number: 1447555396

Clasification: Pharmacy (3336C0004X)

Specialization: Compounding Pharmacy

Address:
16744 CAGAN CROSSINGS BLVD
SUITE 207 A
CLERMONT, FL
ZIP 34714

Phone Number: (352) 989-5913



Detailed Information

NILKANTH VARNI GROUP INC is a compounding pharmacy pharmacy in Clermont, FL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner´┐Żs Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. The assigned NPI number for this provider is 1447555396 and is registered as an organization entity type.
The provider Is Doing Business As Nv Pharmacy.

The provider's business address is:

16744 CAGAN CROSSINGS BLVD
SUITE 207 A
CLERMONT, FL
ZIP 34714-886
Phone: (352) 989-5913
Fax: (352) 989-5914

The provider's authorized official is Chirag Patel .
The authorized official title is Pharmacy Manager and has the following contact phone number (352) 989-5913.

The enumeration date for this NPI number is 1/24/2011 and was last updated on 11/3/2014.





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 3336C0004X Pharmacy Compounding Pharmacy No
2 3336S0011X Pharmacy Specialty Pharmacy No
3 332B00000X Durable Medical Equipment & Medical Supplies No
4 3336L0003X Pharmacy Long Term Care Pharmacy No
5 333600000X Pharmacy No
6 3336C0003X Pharmacy Community/Retail Pharmacy PH 25212 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 2128861 OTHER PK

NPI Record

No. Field Name Field Value
1 NPI 1447555396
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name NILKANTH VARNI GROUP INC
5 Provider Other Organization Name NV PHARMACY
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 16744 CAGAN CROSSINGS BLVD
8 Provider Second Line Business Practice Location Address SUITE 207 A
9 Provider Business Practice Location Address City Name CLERMONT
10 Provider Business Practice Location Address State Name FL
11 Provider Business Practice Location Address Postal Code 347144886
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 3529895913
14 Provider Business Practice Location Address Fax Number 3529895914
15 Provider Enumeration Date 1/24/2011
16 Last Update Date 11/3/2014
17 Authorized Official Last Name PATEL
18 Authorized Official First Name CHIRAG
19 Authorized Official Title or Position PHARMACY MANAGER
20 Authorized Official Telephone Number 3529895913
21 Healthcare Provider Taxonomy Code 1 3336C0004X
22 Healthcare Provider Primary Taxonomy Switch 1 N
23 Healthcare Provider Taxonomy Code 2 3336S0011X
24 Healthcare Provider Primary Taxonomy Switch 2 N
25 Healthcare Provider Taxonomy Code 3 332B00000X
26 Healthcare Provider Primary Taxonomy Switch 3 N
27 Healthcare Provider Taxonomy Code 4 3336L0003X
28 Healthcare Provider Primary Taxonomy Switch 4 N
29 Healthcare Provider Taxonomy Code 5 333600000X
30 Healthcare Provider Primary Taxonomy Switch 5 N
31 Healthcare Provider Taxonomy Code 6 3336C0003X
32 Provider License Number 6 PH 25212
33 Provider License Number State Code 6 FL
34 Healthcare Provider Primary Taxonomy Switch 6 Y
35 Other Provider Identifier 1 2128861
36 Other Provider Identifier Type Code 1 01
37 Other Provider Identifier Issuer 1 PK
38 Is Organization Subpart N

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This page was last updated on: 12/10/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.