Active NPI
Natassia Henna Tallmadge, PHARMD
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1497470140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS64938
- Practice address
- 1839 Central Ave Ste 101
St Petersburg, FL 33713-8900 - Phone
- (727) 894-3001
- NPI assigned
- Oct 5, 2022
- Last updated
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 | PS64938 | FL | Primary |
Addresses
Primary practice location
1839 Central Ave Ste 101
St Petersburg, FL 33713-8900
Mailing address
3460 70TH GLN E
Palmetto, FL 34221-7385
Phone (727) 600-0897
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 |
|---|---|---|---|
| PS64938 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dutta LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1497470140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 70TH GLN E",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342217385",
"telephone_number": "727-600-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE STE 101",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-894-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLMADGE",
"first_name": "NATASSIA",
"middle_name": "HENNA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS64938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)
- Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)
- Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)
- Jacob Thomas Talley, DO
- Pamela A Talley, MD
- Christopher J Talluto
- Simarpreet Talwar, MD
- Kaizad P Tamboli, M.D.
- Conrad D Tamea Jr., MD
- Tampa Bay Anesthesia, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.