Individual provider Active NPI

Ebram L Tawdrous, RPH

  • Pharmacist
  • Bakersfield, CA
National Provider Identifier
1447696471
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61051 Issued in CA
Practice address
1107 Calloway Dr
Bakersfield, CA 93312-6383
Phone
(661) 587-6951
Fax
(661) 587-7432
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61051 CA Primary

Addresses

Primary practice location

1107 Calloway Dr
Bakersfield, CA 93312-6383

Mailing address

1107 Calloway Dr
Bakersfield, CA 93312-6383
Phone (661) 587-6951

Other identifiers 1

IdentifierTypeStateIssuer
1649389982OtherCANATIONAL PROVIDER NUMBER

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

Practice roles

OrganizationSpecialtyStatusNew patients
SG Pharma Inc Current Accepting new patients
SG Pharma Inc Current Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 4

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1447696471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CALLOWAY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126383",
            "telephone_number": "661-587-6951",
            "fax_number": "661-587-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CALLOWAY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126383",
            "telephone_number": "661-587-6951",
            "fax_number": "661-587-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWDROUS",
        "first_name": "EBRAM",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "61051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1649389982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.