Active NPI
Eva Tumar Camblat
- Pharmacy Technician
- Southborough, MA
National Provider Identifier
1306435482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT4477
- Practice address
- 136 Turnpike Rd
Southborough, MA 01772-2118 - Phone
- (508) 804-6893
- NPI assigned
- Jan 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT4477 | MA | Primary |
Addresses
Primary practice location
136 Turnpike Rd
Southborough, MA 01772-2118
Mailing address
136 Turnpike Rd
Southborough, MA 01772-2118
Phone (508) 804-6893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT4477 | Other | MA | STATE BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Southborough |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4477 | MA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1306435482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 TURNPIKE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017722118",
"telephone_number": "508-804-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 TURNPIKE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017722118",
"telephone_number": "508-804-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMAR CAMBLAT",
"first_name": "EVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MA",
"license": "PT4477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "PT4477",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Southborough",
"affiliation": "N",
"endpointDescription": "eva.tumar@rxadvance.com",
"address_1": "136 Turnpike Rd",
"city": "Southborough",
"state": "MA",
"country_code": "US",
"postal_code": "017722118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.