Tammy Sue Bullock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18985 Issued in IA

Practice address

124 S Main St
Maquoketa, IA 52060-3034

Phone

(563) 652-5611

Fax

(563) 652-6242

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

• Maquoketa Pharmacy Inc

  dba Osterhaus Pharmacy

  • Pharmacy
  • Maquoketa, IA
  • NPI 1861155699
  NPD (past)
• Osterhaus Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Maquoketa, IA
  • NPI 1760530620
  NPD (past)
• Osterhaus Pharmacy, Inc.

  • Pharmacy
  • Maquoketa, IA
  • NPI 1699867994
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063510139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BLACKHAWK DR",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527489528",
            "telephone_number": "563-285-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603034",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Care Opco Maquoketa, LLC
• Erica Borgerding
• Leanne Bowman
• N Jean Brownson, MSW, LISW
• Bruce a D'Agostino DDS PC
• Jerald W Bybee, MD
• Jessica Caine
• Andrew James Carrell, D.D.S.
• Tammy Sue Cline, BA,CADC
• Connie Jo Connolly, RPH

• Pharmacist in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.