Provider Demographics
NPI:1346283454
Name:PARULMED CORPORATION
Entity Type:Organization
Organization Name:PARULMED CORPORATION
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NILKESH
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:727-854-5550
Mailing Address - Street 1:4539 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-5121
Mailing Address - Country:US
Mailing Address - Phone:727-845-5550
Mailing Address - Fax:727-848-3346
Practice Address - Street 1:4539 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-5121
Practice Address - Country:US
Practice Address - Phone:727-845-5550
Practice Address - Fax:727-848-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH200773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026585301Medicaid
FL026585300Medicaid
FL1052517OtherNCPDP NUMBER
FL1052517OtherNCPDP NUMBER
FLBP8801082OtherDEA NUMBER