Tanya Tran Coelho, PHARM.D.

Individual provider Active NPI Pharmacist · Thurmont, MD

NPI 1164937488 · NPPES record last updated Sep 28, 2022

Key facts

NPI
1164937488
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
25199 (MD)
Practice address
2 Thurmont Blvd
Thurmont, MD 21788-2000
Phone
(301) 271-2548
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
25199MDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25199 MD Yes

Addresses

Primary practice location

2 Thurmont Blvd
Thurmont, MD 21788-2000

Mailing address

6723 Sandpiper CT
Frederick, MD 21703-7178
Phone (301) 814-8117

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2022.

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1164937488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 SANDPIPER CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037178",
            "telephone_number": "301-814-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 THURMONT BLVD",
            "city": "THURMONT",
            "state": "MD",
            "postal_code": "217882000",
            "telephone_number": "301-271-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "TANYA",
        "middle_name": "TRAN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "25199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thurmont, MD

All providers in Thurmont, MD · Pharmacist in Maryland

Sources for this page

Verify at the official NPI Registry.