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 2/13/2015.





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
2 7168750001 MEDICARE NSC FL
3 003363101 OTHER FL MEDICAID DME PROVIDER
4 003363100 MEDICAID FL

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1447555396 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name NILKANTH VARNI GROUP INC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name NV PHARMACY Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 16744 CAGAN CROSSINGS BLVD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address SUITE 207 A The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name CLERMONT The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 347144886 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 3529895913 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 3529895914 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 1/24/2011 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 2/13/2015 The date that a record was last updated or changed.
17 Authorized Official Last Name PATEL The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
18 Authorized Official First Name CHIRAG The first name of the authorized official.
19 Authorized Official Title or Position PHARMACY MANAGER The title or position of the authorized official.
20 Authorized Official Telephone Number 3529895913 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 3336C0004X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
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 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
36 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
37 Other Provider Identifier Issuer 1 PK
38 Other Provider Identifier 2 7168750001 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
39 Other Provider Identifier Type Code 2 07 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
40 Other Provider Identifier State 2 FL
41 Other Provider Identifier 3 003363101 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
42 Other Provider Identifier Type Code 3 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
43 Other Provider Identifier State 3 FL
44 Other Provider Identifier Issuer 3 MEDICAID DME PROVIDER
45 Other Provider Identifier 4 003363100 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
46 Other Provider Identifier Type Code 4 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
47 Other Provider Identifier State 4 FL
48 Is Organization Subpart N

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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