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

Last updated

Jan 27, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leviant LLC

  dba Katy Medical Complex Pharmacy

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

  dba Katy Medical Pharmacy,LTC

  • 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. (Family Physicians of Katy)
• 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.