Tara Corinne Dunham, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303004825 Issued in MI

Practice address

3225 Towne Centre Blvd
Lansing, MI 48912-5620

Phone

(517) 487-9161

Fax

(517) 487-9163

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1619552676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 RED TAIL DR APT D8",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488089814",
            "telephone_number": "517-763-5362",
            "fax_number": "517-487-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TOWNE CENTRE BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489125620",
            "telephone_number": "517-487-9161",
            "fax_number": "517-487-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "TARA",
        "middle_name": "CORINNE",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303004825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Dukes
• William Dumm, RN
• Alexis A Dunham, PRC
• Kelsie J Dunham
• Kendra Leigh Dunham, OTRL
• William A Dunker, DO
• Dunn Optometry
• Celia Michelle Dunn, LMSW
• Morgan Laurie Dunn, LCSW
• Thomas Dunn, BOCO

• Pharmacy Technician in Lansing, MI
• Providers in Lansing, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.