Active NPI
Tahneen Moonema Cynthia, RPH
- Pharmacist
- Jamaica, NY
National Provider Identifier
1407199482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057848
- Practice address
- 8515 Kendrick PL
Jamaica, NY 11432-2132 - Phone
- (646) 705-4248
- NPI assigned
- Mar 28, 2013
- 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 | 057848 | NY | Primary |
Addresses
Primary practice location
8515 Kendrick PL
Jamaica, NY 11432-2132
Mailing address
16901 Hillside Ave
Jamaica, NY 11432-4434
Phone (718) 739-0311
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057848 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1407199482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16901 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324434",
"telephone_number": "718-739-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 KENDRICK PL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322132",
"telephone_number": "646-705-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYNTHIA",
"first_name": "TAHNEEN",
"middle_name": "MOONEMA",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.