Active NPI
Tatum Drugs Inc
- Community/Retail Pharmacy
- Cave Creek, AZ
National Provider Identifier
1194886259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3717
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808149 | Medicaid | AZ | |
| 0327191 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- TATUM DRUGS INC
National Provider Directory
National Provider DirectoryLocations
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.