Active NPI
Tamara L Walczyk, RPH
- Pharmacist
- Cranberry TWP, PA
National Provider Identifier
1053644740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP043292L
- Practice address
- 900 Commonwealth Dr
Suite 900
Cranberry TWP, PA 16066 - Phone
- (724) 742-3528
- Fax
- (724) 741-3122
- NPI assigned
- Sep 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP043292L | PA | Primary |
Addresses
Primary practice location
900 Commonwealth Dr
Suite 900
Cranberry TWP, PA 16066
Mailing address
900 Commonwealth Dr
Suite 900
Cranberry TWP, PA 16066
Phone (724) 742-3528
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP043292L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1053644740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 COMMONWEALTH DR",
"address_2": "SUITE 900",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "16066",
"telephone_number": "724-742-3528",
"fax_number": "724-741-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COMMONWEALTH DR",
"address_2": "SUITE 900",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "16066",
"telephone_number": "724-742-3528",
"fax_number": "724-741-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALCZYK",
"first_name": "TAMARA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-12",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043292L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.