Vykhanh Tarr, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

64465 Issued in CA

Practice address

1477 S San Jacinto Ave
San Jacinto, CA 92583-5105

Phone

(951) 654-2791

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

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

Other names 1

• Vicky Tarr Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petra Pharmacy Corp

  dba Enova Care Pharmacy

  • Community/Retail Pharmacy
  • San Jacinto, CA
  • NPI 1104901131
  NPD (past)

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1649862160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S CASITA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054747",
            "telephone_number": "408-221-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835105",
            "telephone_number": "951-654-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "VYKHANH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "TARR",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beatriz Sumahit
• Beth Deeon Sutch, INTERN
• Yelena Sverdlova, ED.D., RADT
• Swati Panse MD Inc (Ace Pediatrics)
• Martha Tapia
• Rita Charmaine Taylor, LVN
• Tom Roy Taylor
• Benjamin Martin Tedeschi
• Telecare Corporation (Telecare Riverside Integrated Services and Recovery Centers)
• Albert Telfer, NURSE PRACTITIONER

• Pharmacist in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.