Individual provider Active NPI

Noela L Tume, RPH, PHARMD

  • Pharmacist
  • Tyler, TX
National Provider Identifier
1821399726
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49126 Issued in TX
Practice address
1620 S Broadway Ave
Tyler, TX 75701-4260
Phone
(903) 533-0367
Fax
(903) 533-1063
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49126 TX Primary

Addresses

Primary practice location

1620 S Broadway Ave
Tyler, TX 75701-4260

Mailing address

1620 S Broadway Ave
Tyler, TX 75701-4260
Phone (903) 533-0367

Other practice location 1

2126 US Highway 79 S
Henderson, TX 75654-4406
Phone (903) 655-7561

Other names 1

  • Noela Nomen Former name

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
49126TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 10, 2022 Accepting new patients
Walgreen Co PastSince Mar 20, 2022 Accepting new patients
Walgreen Co PastSince Jan 24, 2021 Accepting new patients

Locations

1620 S Broadway Ave
Tyler, TX 75701
Phone (903) 533-0367

Organizations & group practices 3

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1821399726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014260",
            "telephone_number": "903-533-0367",
            "fax_number": "903-533-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014260",
            "telephone_number": "903-533-0367",
            "fax_number": "903-533-1063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2126 US Highway 79 S",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TX",
            "postal_code": "756544406",
            "country_code": "US",
            "telephone_number": "903-655-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUME",
        "first_name": "NOELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELA",
            "last_name": "NOMEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.