Provider Demographics
NPI:1841896610
Name:TALATI, YASH (PHARMD)
Entity type:Individual
Prefix:
First Name:YASH
Middle Name:
Last Name:TALATI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 E 163RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-4309
Mailing Address - Country:US
Mailing Address - Phone:718-991-1400
Mailing Address - Fax:718-991-1412
Practice Address - Street 1:1026 E 163RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4309
Practice Address - Country:US
Practice Address - Phone:718-991-1400
Practice Address - Fax:718-991-1412
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04144200183500000X
NYI070214-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist