Individual provider Active NPI

Nishant Tarunkumar Talati, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Clermont, FL
National Provider Identifier
1932699287
Registry record updated Dec 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PS54500 Issued in FL
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2018

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 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

IdentifierTypeStateIssuer
28RI03914000OtherNJNEW JERSEY OFFICE OF THE ATTORNEY GENERAL
PS54500OtherFLSTATE 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

LicenseStateTypeSpecialty
PS54500FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
28RI03914000NJMDPharmacist 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.

Verify at the official NPI Registry.