Individual provider Active NPI

Paula Kay Tordai, PHARMD

  • Pharmacist
  • Galesburg, IL
National Provider Identifier
1275855082
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051290780 Issued in IL
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

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
051290780ILMDPharmacist

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.

Verify at the official NPI Registry.