NPIMap

Individual provider Active NPI

Michael Thomas Tinnerello Jr., P.D.

  • Pharmacist
  • Hammond, LA
National Provider Identifier
1013287176
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14232 Issued in LA
Practice address
1812 W Thomas St
Hammond, LA 70401-2945
Phone
(985) 320-5175
Fax
(984) 345-4768
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14232 LA Primary

Addresses

Primary practice location

1812 W Thomas St
Hammond, LA 70401-2945

Mailing address

1812 W Thomas St
Hammond, LA 70401-2945
Phone (985) 320-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1013287176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012945",
            "telephone_number": "985-320-5175",
            "fax_number": "984-345-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012945",
            "telephone_number": "985-320-5175",
            "fax_number": "984-345-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNERELLO",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.