Active NPI
Tam To
- Pharmacist
- Salem, OR
National Provider Identifier
1336473123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 0010546
- Practice address
- 124 Lancaster Dr SE
Salem, OR 97317-5331 - Phone
- (503) 428-5004
- NPI assigned
- Sep 25, 2009
- Last updated
- Sep 25, 2009
- 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 | RPH 0010546 | OR | Primary |
Addresses
Primary practice location
124 Lancaster Dr SE
Salem, OR 97317-5331
Mailing address
124 Lancaster Dr SE
Salem, OR 97317-5331
Phone (503) 428-5004
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 |
|---|---|---|---|
| RPH 0010546 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1336473123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 LANCASTER DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973175331",
"telephone_number": "503-428-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 LANCASTER DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973175331",
"telephone_number": "503-428-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TO",
"first_name": "TAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH 0010546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.