Carla Ruth Tanner, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

49332 Issued in TX

Practice address

7586 Mountain Creek Pkwy
Dallas, TX 75249-1356

Phone

(972) 572-2423

Fax

(972) 572-2428

NPI assigned

Jul 22, 2011

Last updated

Jul 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carla Ruth Coleman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1205114493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 FALLS RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634237",
            "telephone_number": "817-642-0062",
            "fax_number": "972-572-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7586 MOUNTAIN CREEK PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752491356",
            "telephone_number": "972-572-2423",
            "fax_number": "972-572-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CARLA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "COLEMAN",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Enjema Tanifum, PHARMD
• Alexander M Tanjuakio, FNP-BC
• Russell K Tankersley, D.D.S.
• Stephen M Tankersley, MD
• Henri C Tannas, MD
• Stetler Tanner
• Anusha Tanneru
• Anthony Tannous, MD
• Kwaw Tanoe Jr.
• Susan C Tanowitz, PA-C

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.