Individual provider Active NPI

Samir Talati, R.PH.

  • Pharmacist
  • Parlin, NJ
National Provider Identifier
1144467267
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
055367 Issued in NY
Practice address
10 Fabiszewski Way
Parlin, NJ 08859
Phone
(848) 260-7250
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 055367 NY Primary

Addresses

Primary practice location

10 Fabiszewski Way
Parlin, NJ 08859

Mailing address

10 Fabiszewski Way
Parlin, NJ 08859-1684
Phone (848) 260-7250

Other practice location 1

753 E Tremont Ave
Bronx, NY 10457
Phone (718) 901-4717

Other identifiers 1

IdentifierTypeStateIssuer
055367OtherNYPHARMACIST LICENSE

Other names 1

  • Mr. Samirkumar Talati Former name

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
055367NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mars Healthcare Inc Current Accepting new patients

Organizations & group practices 1

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1144467267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FABISZEWSKI WAY",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591684",
            "telephone_number": "848-260-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FABISZEWSKI WAY",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "08859",
            "telephone_number": "848-260-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "753 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10457",
            "country_code": "US",
            "telephone_number": "718-901-4717",
            "fax_number": "718-901-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALATI",
        "first_name": "SAMIR",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "055367",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIRKUMAR",
            "last_name": "TALATI",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.