Jessica Lynn Tahara, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

061937 Issued in NY

Practice address

955 Payne Ave
North Tonawanda, NY 14120-3213

Phone

(716) 693-0294

NPI assigned

Apr 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1023638236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 VANDERBILT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051649",
            "telephone_number": "716-998-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203213",
            "telephone_number": "716-693-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHARA",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Swartzwelder, AT
• Skyler Rain Sweeney, PHARMD
• Julianna Szczesniak, MS, RD, CDN
• Leslie A Szirmai, M.D.
• Jenna Sztorc, DC
• Joseph R Takats III, DO
• Susan Fay Talamo, PT
• Indra Tambar, MD
• Susan Taylor, MSW
• Susan Taylor

• Pharmacist in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.