Mirabel Efundem Tanyi

Primary specialty

PharmacistTaxonomy code 183500000X

License

27208 Issued in MD

Practice address

9001 Woody Ter
Clinton, MD 20735-4255

Phone

(301) 856-6501

Fax

(301) 856-6507

NPI assigned

May 11, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1649892811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WOODY TER",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354255",
            "telephone_number": "301-856-6501",
            "fax_number": "301-856-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WOODY TER",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354255",
            "telephone_number": "301-856-6501",
            "fax_number": "301-856-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANYI",
        "first_name": "MIRABEL",
        "middle_name": "EFUNDEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Clinton, MD
• Providers in Clinton, MD by specialty
• Pharmacist in Maryland

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

Verify at the official NPI Registry.