Individual provider Active NPI

Tammy A Anthon, RPH

  • Pharmacist
  • Monroe, LA
National Provider Identifier
1063764272
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13291 Issued in LA
Practice address
4070 Sterlington Rd
Monroe, LA 71203-2536
Phone
(318) 343-3390
Fax
(318) 343-3504
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13291 LA Primary

Addresses

Primary practice location

4070 Sterlington Rd
Monroe, LA 71203-2536

Mailing address

4070 Sterlington Rd
Monroe, LA 71203-2536
Phone (318) 343-3390

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

LicenseStateTypeSpecialty
13291LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1063764272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032536",
            "telephone_number": "318-343-3390",
            "fax_number": "318-343-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032536",
            "telephone_number": "318-343-3390",
            "fax_number": "318-343-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHON",
        "first_name": "TAMMY",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "13291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.