Individual provider Active NPI

Ian Tasman, PHARMD

  • Pharmacist
  • Oviedo, FL
National Provider Identifier
1679982433
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS52219 Issued in FL
Practice address
2871 Clayton Crossing Way
Oviedo, FL 32765-3426
Phone
(407) 673-2317
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS52219 FL Primary

Addresses

Primary practice location

2871 Clayton Crossing Way
Oviedo, FL 32765-3426

Mailing address

2871 Clayton Crossing Way
Oviedo, FL 32765-3426
Phone (407) 673-2317

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS52219FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Xcellencehealth Management Group Current Accepting new patients
Publix Super Markets Inc Past Accepting new patients

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1679982433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 CLAYTON CROSSING WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327653426",
            "telephone_number": "407-673-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 CLAYTON CROSSING WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327653426",
            "telephone_number": "407-673-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASMAN",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.