Pramodkumar Tanna, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

031075 Issued in NY

Practice address

179 Saint Nicholas Ave
Brooklyn, NY 11237-4441

Phone

(718) 456-1795

Fax

(718) 456-1795

NPI assigned

Mar 12, 2010

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Nicholas Ave Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1548296726
  NPD

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1710200191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374441",
            "telephone_number": "718-456-1795",
            "fax_number": "718-456-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374441",
            "telephone_number": "718-456-1795",
            "fax_number": "718-456-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNA",
        "first_name": "PRAMODKUMAR",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Tanjuakio, MD
• Shivani Tank, OD
• Shree Tank
• Niraj Tankaria
• Catherine Tanksley
• Simran Tanna, MD
• Sarah Tannebaum, M.S.,ED.
• Adena R Tannenbaum, CNM
• Avigayil Tannenbaum
• Ilene Tannenbaum, NP

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.