Active NPI
Tanya Stefanie Sillato, RPH
- Pharmacist
- Mooresville, NC
National Provider Identifier
1538453550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18006
- Practice address
- 594 River Hwy
Target 1505
Mooresville, NC 28117-6829 - Phone
- (704) 799-1477
- Fax
- (704) 799-1477
- NPI assigned
- Jun 7, 2011
- 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 | 18006 | NC | Primary |
Addresses
Primary practice location
594 River Hwy
Target 1505
Mooresville, NC 28117-6829
Mailing address
594 River Hwy
Target 1505
Mooresville, NC 28117-6829
Phone (704) 799-1477
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18006 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1538453550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 RIVER HWY",
"address_2": "TARGET 1505",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176829",
"telephone_number": "704-799-1477",
"fax_number": "704-799-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 RIVER HWY",
"address_2": "TARGET 1505",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176829",
"telephone_number": "704-799-1477",
"fax_number": "704-799-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILLATO",
"first_name": "TANYA",
"middle_name": "STEFANIE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.