Active NPI
Tanaya L Kizzine, PHARMD
- Pharmacist
- Houston, TX
National Provider Identifier
1568206167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41073
- Practice address
- 7055 Old Katy Rd Ste 1062
Houston, TX 77024-2128 - Phone
- (833) 234-6836
- NPI assigned
- Jun 20, 2024
- Last updated
- Jun 20, 2024
- 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 | 41073 | TX | Primary |
Addresses
Primary practice location
7055 Old Katy Rd Ste 1062
Houston, TX 77024-2128
Mailing address
7327 Wooded Lake LN
Richmond, TX 77407-7832
Phone (281) 716-5846
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 |
|---|---|---|---|
| 41073 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1568206167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7327 WOODED LAKE LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077832",
"telephone_number": "281-716-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 OLD KATY RD STE 1062",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242128",
"telephone_number": "833-234-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZZINE",
"first_name": "TANAYA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "41073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in 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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.