Tamara Idlibi, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0202214265 Issued in VA

Practice address

100 Technology Center Dr
Stoughton, MA 02072-4710

Phone

(781) 566-5066

NPI assigned

Jul 11, 2016

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1083066336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY CENTER DR",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY CENTER DR",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724710",
            "telephone_number": "781-566-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDLIBI",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202214265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith J Hutchinson, PHARMD
• David F Hyatt, MD
• Matthew William Hyde, PHARM.D.
• Joseph Ialuna
• Eric Idahor
• Gladys Io Ihenacho, RN
• Oby Christiana Ikoro, FNP-BC
• Elizabeth Ilowiecki, PHARMD
• Michael Joseph Ingemi, D.C.
• Intentional Self. LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.