Active NPI
Paula Kay Tordai, PHARMD
- Pharmacist
- Galesburg, IL
National Provider Identifier
1275855082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051290780
- Practice address
- 1150 W Carl Sandburg Dr
Kmart Pharmacy
Galesburg, IL 61401-1387 - Phone
- (309) 344-3088
- Fax
- (309) 344-3154
- NPI assigned
- Feb 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 20177 | IA | |
| Pharmacist | 183500000X | 051290780 | IL | Primary |
Addresses
Primary practice location
1150 W Carl Sandburg Dr
Kmart Pharmacy
Galesburg, IL 61401-1387
Mailing address
5635 Buckhorn Lane
Davenport, IA 52802
Phone (563) 370-2602
Other names 1
- Dr. Paula Kay-Tordai Meyermann
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051290780 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1275855082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 BUCKHORN LANE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52802",
"telephone_number": "563-370-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W CARL SANDBURG DR",
"address_2": "KMART PHARMACY",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011387",
"telephone_number": "309-344-3088",
"fax_number": "309-344-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORDAI",
"first_name": "PAULA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-20",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20177",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051290780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "MEYERMANN",
"middle_name": "KAY-TORDAI",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.