Active NPI
Peter Tom, PHARMD
- Pharmacist
- Glendale, CA
National Provider Identifier
1407579386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37404
- Practice address
- 1036 Calle Contento
Glendale, CA 91208-3017 - Phone
- (818) 244-8357
- NPI assigned
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 37404 | CA | Primary |
Addresses
Primary practice location
1036 Calle Contento
Glendale, CA 91208-3017
Mailing address
1146 N Central Ave # 429
Glendale, CA 91202-2506
Phone (818) 388-9521
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 |
|---|---|---|---|
| 37404 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1407579386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 N CENTRAL AVE # 429",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022506",
"telephone_number": "818-388-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 CALLE CONTENTO",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912083017",
"telephone_number": "818-244-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "37404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.