Active NPI
Tanyia L Abel, PHARMD
- Pharmacist
- Mendota Heights, MN
National Provider Identifier
1538428164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115071
- Practice address
- 2345 Waters Dr
Coram Specialty Infusion Services
Mendota Heights, MN 55120-1163 - Phone
- (651) 405-7057
- Fax
- (651) 681-7922
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 115071 | MN | Primary |
Addresses
Primary practice location
2345 Waters Dr
Coram Specialty Infusion Services
Mendota Heights, MN 55120-1163
Mailing address
1025 Cedar Lake Rd S
Minneapolis, MN 55405-2103
Phone (651) 405-7057
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 |
|---|---|---|---|
| 115071 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1538428164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 CEDAR LAKE RD S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052103",
"telephone_number": "651-405-7057",
"fax_number": "651-681-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 WATERS DR",
"address_2": "CORAM SPECIALTY INFUSION SERVICES",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201163",
"telephone_number": "651-405-7057",
"fax_number": "651-681-7922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEL",
"first_name": "TANYIA",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendota Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.