Active NPI
Nishant Tarunkumar Talati, PHARM D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Clermont, FL
National Provider Identifier
1932699287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS54500
- Practice address
- 290 Citrus Tower Blvd Ste 106
Clermont, FL 34711-2783 - Phone
- (352) 989-5890
- NPI assigned
- May 12, 2018
- Last updated
- Dec 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS54500 | FL | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 28RI03914000 | NJ |
Addresses
Primary practice location
290 Citrus Tower Blvd Ste 106
Clermont, FL 34711-2783
Mailing address
12405 Beacontree Way
Orlando, FL 32837-6582
Phone (201) 214-5084
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03914000 | Other | NJ | NEW JERSEY OFFICE OF THE ATTORNEY GENERAL |
| PS54500 | Other | FL | STATE OF FLORIDA-DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS54500 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 28RI03914000 | NJ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544832000000",
"number": "1932699287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12405 BEACONTREE WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376582",
"telephone_number": "201-214-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 CITRUS TOWER BLVD STE 106",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112783",
"telephone_number": "352-989-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALATI",
"first_name": "NISHANT",
"middle_name": "TARUNKUMAR",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-12",
"last_updated": "2018-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS54500",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NJ",
"license": "28RI03914000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY OFFICE OF THE ATTORNEY GENERAL",
"identifier": "28RI03914000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA-DEPARTMENT OF HEALTH",
"identifier": "PS54500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.