Active NPI
Abby Lynn Tague
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Iowa City, IA
National Provider Identifier
1881764439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 13933-40
- Practice address
- 601 Highway 6 W # Cc119
Iowa City, IA 52246-2209 - Phone
- (319) 339-7103
- NPI assigned
- Nov 9, 2006
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 13933-40 | WI | Primary |
Addresses
Primary practice location
601 Highway 6 W # Cc119
Iowa City, IA 52246-2209
Mailing address
601 Highway 6 W # Cc119
Iowa City, IA 52246-2209
Phone (319) 339-7103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13933-40 | Other | WI | PHARMACIST |
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 |
|---|---|---|---|
| 13933-40 | WI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1881764439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W # CC119",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462209",
"telephone_number": "319-339-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W # CC119",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462209",
"telephone_number": "319-339-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGUE",
"first_name": "ABBY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WI",
"license": "13933-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "13933-40",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.