Individual provider Active NPI

Tammy Y Chen, B.S. IN PHARMACY

  • Pharmacist
  • Santa Rosa, CA
National Provider Identifier
1265707772
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49444 Issued in CA
Practice address
1980 Santa Rosa Ave
Santa Rosa, CA 95407-7621
Phone
(707) 575-0982
NPI assigned
Mar 16, 2012
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49444 CA Primary

Addresses

Primary practice location

1980 Santa Rosa Ave
Santa Rosa, CA 95407-7621

Mailing address

PO Box 277
Millbrae, CA 94030-0277
Phone (415) 425-3039

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
49444CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1265707772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940300277",
            "telephone_number": "415-425-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SANTA ROSA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077621",
            "telephone_number": "707-575-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TAMMY",
        "middle_name": "Y",
        "name_prefix": "Miss",
        "credential": "B.S. IN PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.