Active NPI
Tala Sam Ataya, PHARMD
- Pharmacist
- Sacramento, CA
National Provider Identifier
1629689369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82779
- Practice address
- 5039 Folsom Blvd
Sacramento, CA 95819-4440 - Phone
- (916) 739-0740
- NPI assigned
- Aug 15, 2020
- Sex
- Female
- 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 | 82779 | CA | Primary |
Addresses
Primary practice location
5039 Folsom Blvd
Sacramento, CA 95819-4440
Mailing address
745 Fulton Ave
Sacramento, CA 95825-6419
Other practice location 1
1125 Alhambra Blvd
Sacramento, CA 95816-5286
Phone (916) 452-1334 ext. 3
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 |
|---|---|---|---|
| 82779 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 06071
- Community/Retail Pharmacy
- Sacramento, CA
- NPI 1427168293
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1629689369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 FULTON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5039 FOLSOM BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958194440",
"telephone_number": "916-739-0740"
}
],
"practiceLocations": [
{
"address_1": "1125 Alhambra Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958165286",
"country_code": "US",
"telephone_number": "916-452-1334 x3",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATAYA",
"first_name": "TALA",
"middle_name": "SAM",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-15",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.