Active NPI
Joanne Tabata, PHARM.D.
- Pharmacist
- Santa Ana, CA
National Provider Identifier
1346783362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42054
- Practice address
- 550 N Flower St
Santa Ana, CA 92703-2361 - Phone
- (714) 647-4157
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 42054 | CA | Primary |
| Pharmacist | 183500000X | RP036166L | PA |
Addresses
Primary practice location
550 N Flower St
Santa Ana, CA 92703-2361
Mailing address
550 N Flower St
County of Orange, Pharmacy Dept
Santa Ana, CA 92703-2361
Phone (714) 647-4157
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 |
|---|---|---|---|
| 42054 | CA | MD | Licensed Psychiatric Technician |
| RP036166L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1346783362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N FLOWER ST",
"address_2": "COUNTY OF ORANGE, PHARMACY DEPT",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927032361",
"telephone_number": "714-647-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N FLOWER ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927032361",
"telephone_number": "714-647-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABATA",
"first_name": "JOANNE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42054",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036166L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.