Individual provider Active NPI

Tamer E Fandy, BCGP, RPH, PH.D.

  • Geriatric Pharmacist
  • Charleston, WV
National Provider Identifier
1447499314
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
RP0010227 Issued in WV
Practice address
2300 Maccorkle Ave SE
Charleston, WV 25304-1045
Phone
(802) 343-5180
NPI assigned
Feb 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X RP0010227 WV Primary

Addresses

Primary practice location

2300 Maccorkle Ave SE
Charleston, WV 25304-1045

Mailing address

240 Red Mulberry Way Apt 2
Charleston, WV 25306-6322
Phone (802) 343-5180

Other practice location 1

7001 Johnnycake Rd
Baltimore, MD 21244-2418
Phone (410) 869-8060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tamerfandy@ucwv.edu

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 Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP0010227WVMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Charleston PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1447499314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 RED MULBERRY WAY APT 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253066322",
            "telephone_number": "802-343-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041045",
            "telephone_number": "802-343-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Johnnycake Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212442418",
            "country_code": "US",
            "telephone_number": "410-869-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANDY",
        "first_name": "TAMER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "BCGP, RPH, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "WV",
            "license": "RP0010227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamerfandy@ucwv.edu",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "2300 MacCorkle Ave SE",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253041045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.