Active NPI
Tamara Malm, PHARMD, MPH, BCPS
- Ambulatory Care Pharmacist
- New Haven, CT
National Provider Identifier
1306127196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 0013001
- Practice address
- 1450 Chapel St
New Haven, CT 06511 - Phone
- (203) 789-4044
- NPI assigned
- Sep 7, 2011
- 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 | I09090 | KY | |
| Ambulatory Care Pharmacist | 1835P2201X | 0013001 | CT | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511
Mailing address
23 Hayward Rd
Hamden, CT 06514-3326
Phone (859) 396-7545
Other practice location 1
789 South Limestone
Lexington, KY 40502
Phone (859) 323-6163
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 |
|---|---|---|---|
| I09090 | KY | MD | Pharmacist |
| 0013001 | CT | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1306127196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HAYWARD RD",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065143326",
"telephone_number": "859-396-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-789-4044"
}
],
"practiceLocations": [
{
"address_1": "789 South Limestone",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "40502",
"country_code": "US",
"telephone_number": "859-323-6163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALM",
"first_name": "TAMARA",
"credential": "PHARMD, MPH, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "I09090",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CT",
"license": "0013001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.