Individual provider Active NPI

Randy Tammara, PHARMD CDE

  • Psychiatric Pharmacist
  • Phila, PA
National Provider Identifier
1841518511
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
RP039233L Issued in PA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
28RI02370800OtherNJNEW JERSEY STATE BOARD OF PHARMACY
2001-0518OtherCERTIFIED DIABETES EDUCATOR
RP039233LOtherPAPENNSYLVANIA STATE BOARD OF PHARMACY
PS 44978OtherFLFLORIDA 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

LicenseStateTypeSpecialty
RP039233LPAMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.