Organization Active NPI

Tatum Drugs Inc

  • Community/Retail Pharmacy
  • Cave Creek, AZ
National Provider Identifier
1194886259
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3717 Issued in AZ
Legal business name
TATUM DRUGS INC
Doing business as
Tatum Drugs Inc
Practice address
28248 N Tatum Blvd
Ste B4
Cave Creek, AZ 85331-6343
Phone
(480) 473-9746
Fax
(480) 473-9707
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Nathan Kaplan, RPH
Title
VP and Phcst
Phone
(480) 473-9746

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 3717 AZ Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

28248 N Tatum Blvd
Ste B4
Cave Creek, AZ 85331-6343

Mailing address

28248 N Tatum Blvd
Ste B4
Cave Creek, AZ 85331-6343
Phone (480) 473-9746

Other identifiers 2

IdentifierTypeStateIssuer
808149MedicaidAZ
0327191OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • TATUM DRUGS INC Doing business as

National Provider Directory

National Provider Directory

Locations

28248 N Tatum Blvd
Ste B4
Cave Creek, AZ 85331
Phone (480) 473-9746

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1194886259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28248 N TATUM BLVD",
            "address_2": "STE B4",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316343",
            "telephone_number": "480-473-9746",
            "fax_number": "480-473-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28248 N TATUM BLVD",
            "address_2": "STE B4",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316343",
            "telephone_number": "480-473-9746",
            "fax_number": "480-473-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP AND PHCST",
        "authorized_official_telephone_number": "480-473-9746",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "3717",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808149",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0327191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TATUM DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.