Tata LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

C005674IR Issued in LA

Legal business name

TATA LLC

Doing business as

Bucktown Pharmacy

Practice address

234 W Harrison Ave
Suite B
New Orleans, LA 70124-1303

Phone

(504) 835-6337

Fax

(504) 846-2556

NPI assigned

Aug 10, 2006

Last updated

Mar 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Dwyer, PHARM D

Title

Owner

Phone

(504) 835-6337

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BUCKTOWN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1750392395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W HARRISON AVE",
            "address_2": "SUITE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W HARRISON AVE",
            "address_2": "SUITE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241303",
            "telephone_number": "504-835-6337",
            "fax_number": "504-846-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-835-6337",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "C005674IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234192",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1932905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCKTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alixzandria Tarnowsky, LCSW
• Tarrytown Expocare, LLC (Tarrytown Expocare LA)
• Joseph Tarsia, M.D.
• Todd Tartavoulle
• Anab Rehan Taseer, MD
• Arrian L. Tate, DOULA
• Brendan Paul Tate
• Christy Monique Tate
• Erica Varie Tate
• Herlanius M Tate

• Community/Retail Pharmacy in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.