Jonathan Tam, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

63458 Issued in TX

Practice address

21700 Kingsland Blvd Ste 105
Katy, TX 77450-2546

Phone

(281) 829-6497

NPI assigned

Jan 27, 2020

Sex

Male

Sole proprietor

No

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

Locations

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.

• Leviant LLC

  • Community/Retail Pharmacy
  • Katy, TX
  • NPI 1487630984
  NPD
• Leviant LLC

  • Long Term Care Pharmacy
  • Katy, TX
  • NPI 1568940492
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1053942292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502546",
            "telephone_number": "281-829-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "JONATHAN",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinie Talamantez
• Rfanyu Daisy Talla Ayuk Manyang
• Chavawna Lee Talley
• Donna Marie Talluto, M.D.
• Viviane Fofie Fopa Talom, REGISTERED NURSE
• Tamara Stout, M.D., P.a.
• Yaniel Alexander Tamayo Verdecia, RN
• Valerie Tamayo
• Sanober M Tamboli, MD
• Radha Ann Tamerisa, M.D.

• Pharmacist in Katy, TX
• Providers in Katy, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.