Active NPI
Randy Tammara, PHARMD CDE
- Psychiatric Pharmacist
- Phila, PA
National Provider Identifier
1841518511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- RP039233L
- Practice address
- 7601 Castor Ave
Lobby Level Suite 100
Phila, PA 19152-4026 - Phone
- (215) 880-8536
- Fax
- (215) 722-8091
- NPI assigned
- May 5, 2010
- Last updated
- May 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | RP039233L | PA | Primary |
Addresses
Primary practice location
7601 Castor Ave
Lobby Level Suite 100
Phila, PA 19152-4026
Mailing address
38 Andrew Rd
Huntingdon Valley, PA 19006-7902
Phone (215) 880-8536
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02370800 | Other | NJ | NEW JERSEY STATE BOARD OF PHARMACY |
| 2001-0518 | Other | CERTIFIED DIABETES EDUCATOR | |
| RP039233L | Other | PA | PENNSYLVANIA STATE BOARD OF PHARMACY |
| PS 44978 | Other | FL | FLORIDA STATE BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP039233L | PA | MD | Psychiatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendale Prescription Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Glendale Prescription Center
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1598760639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1841518511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ANDREW RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190067902",
"telephone_number": "215-880-8536",
"fax_number": "215-722-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 CASTOR AVE",
"address_2": "LOBBY LEVEL SUITE 100",
"city": "PHILA",
"state": "PA",
"postal_code": "191524026",
"telephone_number": "215-880-8536",
"fax_number": "215-722-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMMARA",
"first_name": "RANDY",
"credential": "PHARMD CDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "PA",
"license": "RP039233L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY STATE BOARD OF PHARMACY",
"identifier": "28RI02370800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIABETES EDUCATOR",
"identifier": "2001-0518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE BOARD OF PHARMACY",
"identifier": "RP039233L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA STATE BOARD OF PHARMACY",
"identifier": "PS 44978",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.