Tamara W Avera, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PT21786 Issued in NV

Practice address

6140 Mae Anne Ave Ste 1B
Reno, NV 89523-4707

Phone

(775) 787-1144

NPI assigned

Feb 24, 2022

Last updated

Feb 24, 2022By 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 identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Flying Diamond Pharmacy LLC

  dba Flying Diamond Pharmacy

  • Long Term Care Pharmacy
  • Reno, NV
  • NPI 1174578124
  NPD Authorized official
• Flying Diamond Pharmacy LLC

  dba Flying Diamond Pharmacy

  • Long Term Care Pharmacy
  • Reno, NV
  • NPI 1275587867
  NPD

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1235885534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 MAE ANNE AVE STE 1B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234707",
            "telephone_number": "775-787-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 MAE ANNE AVE STE 1B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234707",
            "telephone_number": "775-787-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERA",
        "first_name": "TAMARA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NV",
            "license": "PT21786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2989448",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT21786",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@",
            "affiliation": "N",
            "address_1": "6140 Mae Anne Ave Ste 1B",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895234707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Avelar
• Charris Avelino
• Jessica Avendano
• Yaire Avendano, CHW
• Dustin Avera, CADC
• Mariana Avery
• Maria Elizabeth Avila Maciel
• Maria Avila Mendoza
• Nayeli Avila
• Rosie Avila

• Pharmacy Technician in Reno, NV
• Providers in Reno, NV by specialty
• Pharmacy Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.