Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shivani Mehta, PHARMD

Individual provider Pharmacist · NPI 1417743063

Shivani Mehta, PHARMD is a Pharmacist in Lake City, Florida. Practices as a sole proprietor and works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2025
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

780 SE Baya Dr
Lake City, FL 32025-5403
Phone: (386) 755-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1465 W Us Highway 90 Ste 110, Lake City, FL 32055-6154 — (386) 755-2233
  • 620 S Lake St Ste 4, Leesburg, FL 34748-6059 — (352) 460-4030

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS65335 (FL)

Record details

NPI number1417743063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address125 Nw Madison St Apt 228, Lake City, FL 32055-3925

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