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NPI Code Detail

MEDICARE: ROSHAN TASGAONKAR PHARM.D.

MEDICARE: ROSHAN TASGAONKAR PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOH
2183500000XPharmacist058995NY

General Provider Information

NPI Number : 1104240837
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSHAN TASGAONKAR PHARM.D.
Provider Business Mailing Address
First Line : 192 LYELL AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14608-1317
Country : US
Telephone Number : 585-458-2326
Fax Number :
Provider Business Practice Location Address
First Line : 192 LYELL AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14608-1317
Country : US
Telephone Number : 585-458-2326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2014
Last Update Date : 07/24/2025

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