Tara Pharmacy SE, LLC

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

112737 Issued in AL

Legal business name

TARA PHARMACY SE, LLC

Practice address

211 Summit Pkwy
Suite 112
Homewood, AL 35209-4751

Phone

(205) 916-2267

Fax

(205) 916-0877

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Norbert A Bennett

Title

Ceo

Phone

(716) 662-4955

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tara Pharmacy SE LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tara Pharmacy SE LLC

  • Long Term Care Pharmacy
  • Homewood, AL
  • NPI 1073696365
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cindy Dent, RPH

  • Pharmacist
  • Homewood, AL
  • NPI 1770753949
  NPD (past)
• Michael Thomas Walden, R.PH.

  • Pharmacotherapy Pharmacist
  • Homewood, AL
  • NPI 1609847540
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063549368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SUMMIT PKWY",
            "address_2": "SUITE 112",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094751",
            "telephone_number": "205-916-2267",
            "fax_number": "205-916-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUMMIT PKWY",
            "address_2": "SUITE 112",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094751",
            "telephone_number": "205-916-2267",
            "fax_number": "205-916-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA PHARMACY SE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-662-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "AL",
            "license": "112737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "510 T115",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Marshall Strang, MD
• Alyssa Jewel Suddith
• Superspine Chiropractic, L.L.C.
• Patsy N. Swanson, RPH
• Tara Pharmacy SE LLC
• Angel Jamesha Terrell, N/A
• David Lawrence Tharpe, MD
• Ghulam Hussain Thaver, MD
• The Muscle Joint, LLC
• The Wellness Trap, LLC

• Geriatric Pharmacist in Homewood, AL
• Providers in Homewood, AL by specialty
• Geriatric Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.