Target

Primary specialty

PharmacistTaxonomy code 183500000X

License

061081 Issued in NY

Legal business name

TARGET

Practice address

500 W Sunrise Hwy
Valley Stream, NY 11581-1001

Phone

(516) 568-9275

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Andre Taylor-Domville Jr.

Title

Pharmacist

Phone

(201) 450-3990

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1356719454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811001",
            "telephone_number": "516-568-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-DOMVILLE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "201-450-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bari Lynn Tannenbaum, LMSW
• Janet Tanoy, PT
• Hazel Lucanas Tapic
• Ardian Tapija, RSA,OPA-C
• Victor Hugo Taranto, M.D., D.O.
• Monica Ann Tarpey
• Lillibeth E Tavarez
• Maria C Tavarez
• Raymond Tavarez, REPAIR TECHNICIAN
• Christy Hencken Taveira, MS, CCC-SLP

• Pharmacist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.