Active NPI
Ganesh Krishna Chand Talasila, PHARMACIST
- Pharmacist
- Poughkeepsie, NY
National Provider Identifier
1972896942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057584-1
- Practice address
- 19 Baker Ave
Ste 207
Poughkeepsie, NY 12601 - Phone
- (845) 471-7455
- Fax
- (845) 473-6337
- NPI assigned
- May 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03413900 | NJ | |
| Pharmacist | 183500000X | 057584-1 | NY | Primary |
| Pharmacist | 183500000X | PCT0012255 | CT |
Addresses
Primary practice location
19 Baker Ave
Ste 207
Poughkeepsie, NY 12601
Mailing address
19 Baker Ave
Suite207
Poughkeepsie, NY 12601-1359
Phone (845) 471-7455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057584-1 | Other | NY | STATE LICENSE |
| PCT0012255 | Other | CT | STATE LICENSE |
| 28RI03413900 | Other | NJ | NJ BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT0012255 | CT | MD | Pharmacist |
| 28RI03413900 | NJ | MD | Pharmacist |
| 057584-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1972896942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BAKER AVE",
"address_2": "SUITE207",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011359",
"telephone_number": "845-471-7455",
"fax_number": "845-473-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BAKER AVE",
"address_2": "STE 207",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-471-7455",
"fax_number": "845-473-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALASILA",
"first_name": "GANESH KRISHNA CHAND",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-24",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03413900",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057584-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0012255",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "057584-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PCT0012255",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ BOARD OF PHARMACY",
"identifier": "28RI03413900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.