Tami Sublette, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

120749 Issued in MN

Practice address

20710 Keokuk Ave
Lakeville, MN 55044-6620

Phone

(612) 354-5934

Fax

(612) 354-5928

NPI assigned

Oct 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Territorial Drug Co Inc

  • Community/Retail Pharmacy
  • Tombstone, AZ
  • NPI 1750327847
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1407156995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20710 KEOKUK AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446620",
            "telephone_number": "612-354-5934",
            "fax_number": "612-354-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20710 KEOKUK AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446620",
            "telephone_number": "612-354-5934",
            "fax_number": "612-354-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1939 Frontage Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856354638",
            "country_code": "US",
            "telephone_number": "520-459-0705",
            "fax_number": "520-459-1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBLETTE",
        "first_name": "TAMI",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120749",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "13709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Streeter, D.C.
• Brent Allan Stromgren, D.C.
• Amanda Rae Studer
• Ben Studer, RN
• Haso Subasic
• Suite Living Senior Care of Lakeville
• Summit Orthopedics, LTD
• Summit Orthopedics, LTD
• Summit Reentry LLC
• Sunflower Bloom Acupuncture and Healing Arts LLC

• Pharmacist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.