Lee Anne Mathena Tadlock, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

19781 Issued in NC

Practice address

5791 Cleveland Ave
Columbus, OH 43231-2831

Phone

(614) 426-4160

Fax

(614) 426-4170

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Lee Anne Mathena Tadlock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Axis Chiropractic LLC

  • Chiropractor
  • Columbus, OH
  • NPI 1154428399
  NPD (past)
• Hope Pharmacy LTD

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1033530985
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1831499151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5791 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312831",
            "telephone_number": "614-426-4160",
            "fax_number": "614-426-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312831",
            "telephone_number": "614-426-4160",
            "fax_number": "614-426-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADLOCK",
        "first_name": "LEE",
        "middle_name": "ANNE MATHENA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19781",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "31770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "46-1317638",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033530985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE ANNE",
            "last_name": "TADLOCK",
            "middle_name": "MATHENA",
            "prefix": "DR.",
            "credential": "PHARM.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bobbak Tadayon
• Stephanie B Taddeo, MSW
• Eden Birhanu Taddese, DO
• Tsebaot Tadesse
• Bhavana Tadikonda, BDS MBS
• Sandy Tadros, MD
• Ariol Tafa, PMHNP-BC
• Gideon Ashu Tafah
• Nicholas Gene Tagliaferro, DC
• Jason Tagliarina, APRN

• Pharmacist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.