Active NPI
Tanya Ralliford, PHARMD, MBA
- Pharmacist
- La Porte, IN
National Provider Identifier
1235727033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028444A
- Practice address
- 1007 Lincolnway
La Porte, IN 46350-3201 - Phone
- (219) 326-1234
- NPI assigned
- Jan 6, 2021
- Last updated
- Jan 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS59820 | FL | |
| Pharmacist | 183500000X | 26028444A | IN | Primary |
Addresses
Primary practice location
1007 Lincolnway
La Porte, IN 46350-3201
Mailing address
1605 Lake Michigan Dr Apt 208
Valparaiso, IN 46383-6265
Phone (954) 479-1107
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | T.ralliford@nwhealthin.com | Direct | La Porte Hospital Company LLC |
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59820 | FL | MD | Pharmacist |
| 26028444A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1235727033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 LAKE MICHIGAN DR APT 208",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463836265",
"telephone_number": "954-479-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 LINCOLNWAY",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503201",
"telephone_number": "219-326-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALLIFORD",
"first_name": "TANYA",
"credential": "PHARMD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59820",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028444A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "T.ralliford@nwhealthin.com",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "La Porte Hospital Company LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1007 Lincolnway",
"city": "LA Porte",
"state": "IN",
"country_code": "US",
"postal_code": "463503201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.