Individual provider Active NPI

Tarra Palyok, PHARMD, MBA

  • Pharmacist
  • Morrisville, NC
National Provider Identifier
1710598974
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20279 Issued in NC
Practice address
2100 Gateway Centre Blvd Ste 300
Morrisville, NC 27560-6228
Phone
(919) 460-3967
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 20279 NC Primary

Addresses

Primary practice location

2100 Gateway Centre Blvd Ste 300
Morrisville, NC 27560-6228

Mailing address

2100 Gateway Centre Blvd Ste 300
Morrisville, NC 27560-6228
Phone (919) 460-3967

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
20279NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1710598974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GATEWAY CENTRE BLVD STE 300",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606228",
            "telephone_number": "919-460-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GATEWAY CENTRE BLVD STE 300",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606228",
            "telephone_number": "919-460-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALYOK",
        "first_name": "TARRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

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