Individual provider Active NPI

Barbara Ann Tanouye, RPH

  • Pharmacist
  • New Lenox, IL
National Provider Identifier
1629390992
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051031173 Issued in IL
Practice address
1500 W Lincoln Hwy
New Lenox, IL 60451-1529
Phone
(815) 485-2166
Fax
(815) 485-0438
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051031173 IL Primary

Addresses

Primary practice location

1500 W Lincoln Hwy
New Lenox, IL 60451-1529

Mailing address

1500 W Lincoln Hwy
New Lenox, IL 60451-1529
Phone (815) 485-2166

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

LicenseStateTypeSpecialty
051031173ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1629390992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W LINCOLN HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511529",
            "telephone_number": "815-485-2166",
            "fax_number": "815-485-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W LINCOLN HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511529",
            "telephone_number": "815-485-2166",
            "fax_number": "815-485-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANOUYE",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051031173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.