Active NPI
Tenning Maa, RPH
- Pharmacist
- Mill Valley, CA
National Provider Identifier
1336449933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61154
- Practice address
- 1 Camino Alto
Mill Valley, CA 94941-2974 - Phone
- (415) 388-2701
- Fax
- (415) 388-7142
- NPI assigned
- Oct 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61154 | CA | Primary |
Addresses
Primary practice location
1 Camino Alto
Mill Valley, CA 94941-2974
Mailing address
1 Camino Alto
Mill Valley, CA 94941-2974
Phone (415) 388-2701
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61154 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1336449933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CAMINO ALTO",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412974",
"telephone_number": "415-388-2701",
"fax_number": "415-388-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAMINO ALTO",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412974",
"telephone_number": "415-388-2701",
"fax_number": "415-388-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAA",
"first_name": "TENNING",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.