Individual provider Active NPI

Samantha Lynn Tarcy, PHARMD.

  • Clinic/Center
  • Avon, OH
National Provider Identifier
1598208332
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Practice address
33100 Cleveland Clinic Blvd
Cardiology Dept - Coumadin Clinic
Avon, OH 44011-1390
Phone
(440) 695-4000
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

33100 Cleveland Clinic Blvd
Cardiology Dept - Coumadin Clinic
Avon, OH 44011-1390

Mailing address

33100 Cleveland Clinic Blvd
Cardiology Dept - Coumadin Clinic
Avon, OH 44011-1390

Other identifiers 1

IdentifierTypeStateIssuer
RPH.03129851-1OtherOHOHIO BOARD OF PHARMACY LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1598208332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD",
            "address_2": "CARDIOLOGY DEPT - COUMADIN CLINIC",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD",
            "address_2": "CARDIOLOGY DEPT - COUMADIN CLINIC",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390",
            "telephone_number": "440-695-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARCY",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PHARMACY LICENSE",
            "identifier": "RPH.03129851-1",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.