Individual provider Active NPI

Tina Kanmaz, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Jamaica, NY
National Provider Identifier
1437345626
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
042324-1 Issued in NY
Practice address
St John'S University St Albert'S Hall RM 114
8000 Utopia Parkway
Jamaica, NY 11439-0001
Phone
(718) 990-5243
Fax
(718) 990-1986
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 042324-1 NY Primary

Addresses

Primary practice location

St John'S University St Albert'S Hall RM 114
8000 Utopia Parkway
Jamaica, NY 11439-0001

Mailing address

St John'S University St Albert'S Hall RM 114
8000 Utopia Parkway
Jamaica, NY 11439-0001
Phone (718) 990-5243

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

LicenseStateTypeSpecialty
042324-1NYMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1437345626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST JOHN'S UNIVERSITY ST ALBERT'S HALL RM 114",
            "address_2": "8000 UTOPIA PARKWAY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114390001",
            "telephone_number": "718-990-5243",
            "fax_number": "718-990-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST JOHN'S UNIVERSITY ST ALBERT'S HALL RM 114",
            "address_2": "8000 UTOPIA PARKWAY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114390001",
            "telephone_number": "718-990-5243",
            "fax_number": "718-990-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANMAZ",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "042324-1",
            "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 Sep 20, 2007; 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.