Active NPI
Carlo Alfonso Salazar Tiano, PHARM.D.
- Pharmacist
- Fort Sam Houston, TX
National Provider Identifier
1467809087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03236456
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-7500
- NPI assigned
- May 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T130529007 | HI | |
| Pharmacist | 183500000X | 03236456 | OH | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-7500
Other practice location 1
200 W Kawili St
Hilo, HI 96720-4075
Phone (808) 933-2909
Other practice location 2
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone (937) 257-9015
Other practice location 3
301 N 1st St Bldg 46
Altus AFB, OK 73523-5004
Phone (580) 481-5258
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 |
|---|---|---|---|
| T130529007 | HI | MD | Pharmacist |
| 03236456 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1467809087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7500"
}
],
"practiceLocations": [
{
"address_1": "200 W Kawili St",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "967204075",
"country_code": "US",
"telephone_number": "808-933-2909",
"fax_number": "808-933-2974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4881 Sugar Maple Dr",
"address_purpose": "LOCATION",
"city": "Wpafb",
"state": "OH",
"postal_code": "454335529",
"country_code": "US",
"telephone_number": "937-257-9015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 N 1st St Bldg 46",
"address_purpose": "LOCATION",
"city": "Altus AFB",
"state": "OK",
"postal_code": "735235004",
"country_code": "US",
"telephone_number": "580-481-5258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIANO",
"first_name": "CARLO",
"middle_name": "ALFONSO SALAZAR",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "T130529007",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03236456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.