Healthcare Provider Details

I. General information

NPI: 1336038611
Provider Name (Legal Business Name): TAIMOOR SAEED PHARM-D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 JOSHUA WAY,ESSEX JUNCTION
ESSEX JUNCTION VT
05452
US

IV. Provider business mailing address

69 N PROSPECT ST APT 4
BURLINGTON VT
05401-3344
US

V. Phone/Fax

Practice location:
  • Phone: 802-872-1800
  • Fax:
Mailing address:
  • Phone: 240-931-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302415928
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04435400
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0135623
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: