Individual provider Active NPI

Lisa Tomic, PHARMD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1023366994
Registry record updated Aug 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S019014 Issued in AZ
Practice address
5324 E Washington St BLDG a
Phoenix, AZ 85034-2144
Phone
(602) 732-3384
NPI assigned
Aug 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S019014 AZ Primary
Pharmacist 183500000X 03127330 OH
Pharmacist 183500000X 26022139A IN
Pharmacist 183500000X 051295628 IL

Addresses

Primary practice location

5324 E Washington St BLDG a
Phoenix, AZ 85034-2144

Mailing address

2925 E Robin LN
Gilbert, AZ 85296-9426
Phone (480) 813-4253

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S019014AZMDPharmacist
051295628ILMDPharmacist
26022139AINMDPharmacist
03127330OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1023366994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 E ROBIN LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969426",
            "telephone_number": "480-813-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 E WASHINGTON ST BLDG A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342144",
            "telephone_number": "602-732-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMIC",
        "first_name": "LISA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-26",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019014",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03127330",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022139A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051295628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.