Individual provider Active NPI

Anna Tavlarios, RPH

  • Pharmacist
  • Canton, OH
National Provider Identifier
1700012341
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03122328 Issued in OH
Practice address
2906 Cleveland Ave SW
Canton, OH 44707-3624
Phone
(330) 484-3947
Fax
(330) 484-9470
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03122328 OH Primary

Addresses

Primary practice location

2906 Cleveland Ave SW
Canton, OH 44707-3624

Mailing address

4500 High Vista CR NE
Canton, OH 44714
Phone (330) 484-3947

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
03122328OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1700012341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 HIGH VISTA CR NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44714",
            "telephone_number": "330-484-3947",
            "fax_number": "330-484-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073624",
            "telephone_number": "330-484-3947",
            "fax_number": "330-484-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVLARIOS",
        "first_name": "ANNA",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03122328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.