Individual provider Active NPI

Jayant K Thaker, R.PH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • White Plains, NY
National Provider Identifier
1073836425
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
036262 Issued in NY
Practice address
44 E Post Rd
White Plains, NY 10601-4606
Phone
(862) 222-5390
Fax
(914) 287-2417
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 036262 NY Primary
Pharmacist 183500000X 036262 NY

Addresses

Primary practice location

44 E Post Rd
White Plains, NY 10601-4606

Mailing address

44 E Post Rd
White Plains, NY 10601-4606
Phone (914) 287-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
036262NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
One Source Homecare Supplies Inc. Current Accepting new patients
One Source Infusion Center LLC PastSince Sep 23, 2021 Accepting new patients

Locations

44 E Post Rd
White Plains, NY 10601
Phone (914) 269-8580

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1073836425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014606",
            "telephone_number": "914-287-2410",
            "fax_number": "914-287-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014606",
            "telephone_number": "862-222-5390",
            "fax_number": "914-287-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "JAYANT",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "036262",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "036262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.