Active NPI
Tai Ling Tu
- Pharmacist
- Bentonville, AR
National Provider Identifier
1154711174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD13504
- Practice address
- 1800 E Centerton Blvd
Bentonville, AR 72712-9376 - Phone
- (479) 795-4105
- NPI assigned
- Jan 29, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23946 | NC | |
| Pharmacist | 183500000X | 13993 | SC | |
| Pharmacist | 183500000X | PD13504 | AR | Primary |
Addresses
Primary practice location
1800 E Centerton Blvd
Bentonville, AR 72712-9376
Mailing address
1800 E Centerton Blvd
Bentonville, AR 72712-9376
Phone (479) 795-4105
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD13504 | AR | MD | Pharmacist |
| 23946 | NC | MD | Pharmacist |
| 13993 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bentonville, AR
- NPI 1992122808
-
- Community/Retail Pharmacy
- Rock Hill, SC
- NPI 1275937104
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1154711174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E CENTERTON BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727129376",
"telephone_number": "479-795-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E CENTERTON BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727129376",
"telephone_number": "479-795-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TU",
"first_name": "TAI LING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23946",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13993",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD13504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.