Tamara Bolos Allen, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

16934 Issued in NV

Practice address

4155 S Grand Canyon Dr
T-1524
Las Vegas, NV 89147-7123

Phone

(702) 251-1450

Fax

(702) 251-1450

NPI assigned

Dec 8, 2011

Last updated

Dec 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tamara Bolos Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1518235241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 S GRAND CANYON DR",
            "address_2": "T-1524",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 S GRAND CANYON DR",
            "address_2": "T-1524",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477123",
            "telephone_number": "702-251-1450",
            "fax_number": "702-251-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TAMARA",
        "middle_name": "BOLOS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NV",
            "license": "16934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "LEE",
            "middle_name": "BOLOS",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sophronia L Allen
• Stephanie Allen
• Susie Felicia Allen
• Takia 9512212723 Allen
• Talaya H Allen
• Tealynn Allen
• Teri Allen
• Terrance Allen
• Timothy Allen
• Tonia Marie Allen

• Pharmacotherapy Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacotherapy Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.