Healthcare Provider Details

I. General information

NPI: 1225992118
Provider Name (Legal Business Name): TARUN VERMA PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 E LAKE MARY BLVD
SANFORD FL
32771-5003
US

IV. Provider business mailing address

1597 CHERRY RIDGE DR
LAKE MARY FL
32746-1960
US

V. Phone/Fax

Practice location:
  • Phone: 407-322-8653
  • Fax:
Mailing address:
  • Phone: 407-322-8653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS42332
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: