Active NPI
Sela Tiet, PHARM.D.
- Pharmacist
- Pasadena, CA
National Provider Identifier
1114477619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75408
- Practice address
- 3745 E Foothill Blvd
Unit D
Pasadena, CA 91107-2202 - Phone
- (626) 351-0515
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75408 | CA | Primary |
Addresses
Primary practice location
3745 E Foothill Blvd
Unit D
Pasadena, CA 91107-2202
Mailing address
6042 Temple City Blvd Apt D
Temple City, CA 91780-2053
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": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1114477619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6042 TEMPLE CITY BLVD APT D",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917802053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3745 E FOOTHILL BLVD",
"address_2": "UNIT D",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072202",
"telephone_number": "626-351-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIET",
"first_name": "SELA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.