Active NPI
Teresita B Tadifa, PHARMD
- Pharmacist
- Reno, NV
National Provider Identifier
1093008799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18011
- Practice address
- 12645 S Virginia St
Reno, NV 89511-4803 - Phone
- (775) 853-9887
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18011 | NV | Primary |
Addresses
Primary practice location
12645 S Virginia St
Reno, NV 89511-4803
Mailing address
33235 Falcon Dr
Fremont, CA 94555-1128
Phone (510) 471-5103
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
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1093008799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33235 FALCON DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945551128",
"telephone_number": "510-471-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12645 S VIRGINIA ST",
"city": "RENO",
"state": "NV",
"postal_code": "895114803",
"telephone_number": "775-853-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADIFA",
"first_name": "TERESITA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.