Active NPI
Tony Tayar, PHARMD
- Pharmacotherapy Pharmacist
- Detroit, MI
National Provider Identifier
1093369001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302411694
- Practice address
- 21431 Grand River Ave
Detroit, MI 48219-3801 - Phone
- (313) 778-7610
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302411694 | MI | Primary |
Addresses
Primary practice location
21431 Grand River Ave
Detroit, MI 48219-3801
Mailing address
1423 Peachtree Dr
Troy, MI 48083-5396
Phone (248) 285-2575
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411694 | MI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1093369001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 PEACHTREE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480835396",
"telephone_number": "248-285-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21431 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193801",
"telephone_number": "313-778-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYAR",
"first_name": "TONY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302411694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.