Individual provider Active NPI

Caroline Elad Tabe, PHARM D

  • Pharmacotherapy Pharmacist
  • Fort Worth, TX
National Provider Identifier
1831373679
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
40613 Issued in TX
Practice address
5412 Meadow Valley Dr
Fort Worth, TX 76123-2841
Phone
(817) 370-1703
Fax
(817) 370-1703
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 40613 TX Primary

Addresses

Primary practice location

5412 Meadow Valley Dr
Fort Worth, TX 76123-2841

Mailing address

5412 Meadow Valley Dr
Fort Worth, TX 76123-2841
Phone (817) 370-1703

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

Practice roles

OrganizationSpecialtyStatusNew patients
Impulse Home Care LLC Current Accepting new patients
Impulse Pharmacy Incorporated Current Accepting new patients
McCart Pharmacy Past Accepting new patients

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1831373679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 MEADOW VALLEY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232841",
            "telephone_number": "817-370-1703",
            "fax_number": "817-370-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 MEADOW VALLEY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232841",
            "telephone_number": "817-370-1703",
            "fax_number": "817-370-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABE",
        "first_name": "CAROLINE",
        "middle_name": "ELAD",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "40613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.