Active NPI
Teresa Marie Tomerlin, PHARMD.
- Pharmacist
- Melbourne, FL
National Provider Identifier
1720373012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41170
- Practice address
- 1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624 - Phone
- (321) 726-1614
- Fax
- (321) 726-1611
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41170 | FL | Primary |
Addresses
Primary practice location
1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624
Mailing address
1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624
Phone (321) 726-1614
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41170 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1720373012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W HIBISCUS BLVD STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012624",
"telephone_number": "321-726-1614",
"fax_number": "321-726-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W HIBISCUS BLVD STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012624",
"telephone_number": "321-726-1614",
"fax_number": "321-726-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMERLIN",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.