NAFISEH BANAHA
NPI 1164185732
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Haven, CT

Active since October 20, 2021
55 PARK ST, NEW HAVEN, CT 06511(203) 688-1111 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nafiseh Banaha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAFISEH BANAHA (NPI 1164185732) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in New Haven, Connecticut, licensed in Connecticut (14994) and active in the NPI registry since October 2021. She maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1164185732
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameNAFISEH BANAHA
Location Address55 PARK STNew Haven, CT 06511-5474
Mailing Address55 Park StNew Haven, CT 06511-5474
Sole ProprietorNo
Enumeration DateOctober 20, 2021
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1164185732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in CT · 14994
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 88722 (CA)
55 PARK ST, New Haven, CT 06511

Secondary Practice Location 1

Location 139400 Paseo Padre PkwyFremont, CA 94538-2310 · Phone (510) 248-7579

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
55 PARK ST
NEW HAVEN, CT 06511
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
55 PARK ST
NEW HAVEN, CT 06511
Pharmacist (Critical Care)
55 PARK ST
NEW HAVEN, CT 06511
Pharmacist
55 PARK ST
NEW HAVEN, CT 06511
Pharmacist
55 PARK ST
NEW HAVEN, CT 06511
Pharmacist (Critical Care)
55 PARK ST
NEW HAVEN, CT 06511
Pharmacist (Oncology)
55 PARK ST
NEW HAVEN, CT 06511
Pharmacist (Ambulatory Care)
55 PARK ST
NEW HAVEN, CT 06511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nafiseh Banaha's NPI number?

The NPI number for Nafiseh Banaha is 1164185732. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Nafiseh Banaha located?

Nafiseh Banaha practices at 55 Park St, New Haven, CT 06511. The listed phone number is (203) 688-1111.

What is Nafiseh Banaha's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Nafiseh Banaha was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.