Mary Grace Tambasco

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP437786 Issued in PA

Practice address

257 N Wyoming St
Hazleton, PA 18201-5563

Phone

(570) 454-2951

NPI assigned

Jan 24, 2017

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Waschko Pharmacy

  • Pharmacist
  • Hazleton, PA
  • NPI 1033657150
  NPD (past)
• Waschkos Pharmacy Inc

  • Pharmacist
  • Hazleton, PA
  • NPI 1285639492
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1154868453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 S PROVIDENCE RD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023288",
            "telephone_number": "570-455-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N WYOMING ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015563",
            "telephone_number": "570-454-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBASCO",
        "first_name": "MARY GRACE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP437786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Specialists of Hazleton, P. C.
• Cassie Surplus, MA
• Kerry Swiech
• Lisa A Tabbit, DO
• Nina Mithi Taggart, MD
• Paul J Tayoun, DO
• Tech Transport Inc.
• Teresa E Zierden Landmesser
• The Giant Company, LLC
• Lea Rosemarie Thibeault, MASSAGE THERIPAST

• Pharmacist in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.