Active NPI
Christine George Tadross, RPH
- Pharmacist
- Costa Mesa, CA
National Provider Identifier
1215682539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60901
- Practice address
- 2246 Newport Blvd
Costa Mesa, CA 92627-6743 - Phone
- (944) 646-7744
- Fax
- (949) 646-4614
- NPI assigned
- Feb 15, 2022
- Last updated
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60901 | CA | Primary |
Addresses
Primary practice location
2246 Newport Blvd
Costa Mesa, CA 92627-6743
Mailing address
22551 Ivy RDG
Mission Viejo, CA 92692-4527
Phone (949) 235-5910
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60901 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ssmena Pharm Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1215682539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22551 IVY RDG",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926924527",
"telephone_number": "949-235-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2246 NEWPORT BLVD",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926276743",
"telephone_number": "944-646-7744",
"fax_number": "949-646-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADROSS",
"first_name": "CHRISTINE",
"middle_name": "GEORGE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.