Individual provider Active NPI

Sylvain Valere Sob Tanemossu, PHD, PHARMD

  • Pharmacist
  • Silver Spring, MD
National Provider Identifier
1184975195
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26782 Issued in MD
Practice address
11700 Old Columbia Pike Apt 1812
Silver Spring, MD 20904-2558
Phone
(202) 545-0935
Fax
(202) 545-0176
NPI assigned
Oct 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Pharmacist 183500000X 26782 MD Primary

Addresses

Primary practice location

11700 Old Columbia Pike Apt 1812
Silver Spring, MD 20904-2558

Mailing address

11548 February Cir
Silver Spring, MD 20904-6930
Phone (202) 403-9356

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 Philosophy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26782MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1184975195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11548 FEBRUARY CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046930",
            "telephone_number": "202-403-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 OLD COLUMBIA PIKE APT 1812",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042558",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOB TANEMOSSU",
        "first_name": "SYLVAIN VALERE",
        "name_prefix": "Dr.",
        "credential": "PHD, PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.