Individual provider Active NPI

Tamara Elizabeth Mason, PHARMD

  • Pharmacist
  • Saginaw, MI
National Provider Identifier
1346322849
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033019 Issued in MI
Practice address
1522 Janes Ave
Saginaw, MI 48601-1819
Phone
(989) 755-3633
Fax
(989) 755-3614
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302033019 MI Primary

Addresses

Primary practice location

1522 Janes Ave
Saginaw, MI 48601-1819

Mailing address

8129 S Fordney Rd
Saint Charles, MI 48655-9762
Phone (989) 323-1873

Other practice location 1

3023 Davenport Ave
Saginaw, MI 48602-3652
Phone (989) 399-1600

Other practice location 2

1115 W Broad St
Chesaning, MI 48616-1068
Phone (989) 845-9355

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
5302033019MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Broad Street Pharmacy, Inc Current Accepting new patients
Broad Street Pharmacy, Inc Current Accepting new patients

Locations

1115 W Broad St
Chesaning, MI 48616
Phone (989) 845-8927

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1346322849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 S FORDNEY RD",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486559762",
            "telephone_number": "989-323-1873",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 JANES AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486011819",
            "telephone_number": "989-755-3633",
            "fax_number": "989-755-3614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3023 Davenport Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486023652",
            "country_code": "US",
            "telephone_number": "989-399-1600",
            "fax_number": "989-755-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Chesaning",
            "state": "MI",
            "postal_code": "486161068",
            "country_code": "US",
            "telephone_number": "989-845-9355",
            "fax_number": "989-845-9356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "TAMARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.