Active NPI
David Joseph Tavella, PHARMD, MBA, RPH
- Pharmacist
- Hartford, CT
National Provider Identifier
1598216780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237081
- Practice address
- 85 Seymour St
Hartford, CT 06106-5501 - Phone
- (860) 972-7070
- NPI assigned
- Oct 22, 2016
- Sex
- Male
- 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 | PH237081 | MA | Primary |
Addresses
Primary practice location
85 Seymour St
Hartford, CT 06106-5501
Mailing address
17 Frank St
Springfield, MA 01119-2647
Phone (413) 426-6454
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
- Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH237081 | MA | MD | Pharmacist |
Interoperability endpoints
- dtavella324682@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608422400000",
"number": "1598216780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 FRANK ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011192647",
"telephone_number": "413-426-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065501",
"telephone_number": "860-972-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVELLA",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-22",
"last_updated": "2020-12-20",
"certification_date": "2020-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.