Individual provider Active NPI

Rene Lahmbe Tamah

  • Pharmacist
  • Broken Arrow, OK
National Provider Identifier
1659990935
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17889 Issued in OK
Practice address
4722 S 202ND East Ave
Broken Arrow, OK 74014-8826
Phone
(859) 536-2845
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17889 OK Primary

Addresses

Primary practice location

4722 S 202ND East Ave
Broken Arrow, OK 74014-8826

Mailing address

4722 S 202ND East Ave
Broken Arrow, OK 74014-8826
Phone (859) 536-2845

Other names 1

  • Rene Lahmbe Tamah Other name

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

State licenses

LicenseStateTypeSpecialty
17889OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1659990935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 S 202ND EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148826",
            "telephone_number": "859-536-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 S 202ND EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148826",
            "telephone_number": "859-536-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAH",
        "first_name": "RENE",
        "middle_name": "LAHMBE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "17889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "TAMAH",
            "middle_name": "LAHMBE",
            "credential": "PHAMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.