Active NPI
Tanya Passarella Sandy, DPH
- Pharmacist
- Memphis, TN
National Provider Identifier
1861775488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4131
- Practice address
- 3177 S Perkins Rd
Memphis, TN 38118-4354 - Phone
- (901) 365-4440
- NPI assigned
- Sep 20, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4131 | TN | Primary |
Addresses
Primary practice location
3177 S Perkins Rd
Memphis, TN 38118-4354
Mailing address
1866 Northcross PL S
Collierville, TN 38017-8705
Phone (901) 850-1200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4131 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1861775488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1866 NORTHCROSS PL S",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380178705",
"telephone_number": "901-850-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3177 S PERKINS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381184354",
"telephone_number": "901-365-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDY",
"first_name": "TANYA",
"middle_name": "PASSARELLA",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "4131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.