Individual provider Active NPI

Tara J Pinyan, PHARMD

  • Pharmacist
  • Deland, FL
National Provider Identifier
1760731020
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49084 Issued in FL
Practice address
2701 S Woodland Blvd
Deland, FL 32720-7005
Phone
(386) 943-9940
Fax
(386) 943-8421
NPI assigned
Sep 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49084 FL Primary

Addresses

Primary practice location

2701 S Woodland Blvd
Deland, FL 32720-7005

Mailing address

2701 S Woodland Blvd
Deland, FL 32720-7005
Phone (386) 943-9940

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

LicenseStateTypeSpecialty
PS49084FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1760731020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207005",
            "telephone_number": "386-943-9940",
            "fax_number": "386-943-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207005",
            "telephone_number": "386-943-9940",
            "fax_number": "386-943-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINYAN",
        "first_name": "TARA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; 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.