Provider Demographics
NPI:1114163839
Name:THAKAR, VANITA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VANITA
Middle Name:
Last Name:THAKAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W 48TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-1803
Mailing Address - Country:US
Mailing Address - Phone:212-730-4914
Mailing Address - Fax:212-730-4943
Practice Address - Street 1:22 W 48TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-1803
Practice Address - Country:US
Practice Address - Phone:212-730-4914
Practice Address - Fax:212-730-4943
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048830-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist