Active NPI
Christopher A Tanner, PHARMD RPH
- Pharmacist
- Glastonbury, CT
National Provider Identifier
1912350075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT. 0013741
- Practice address
- 2900 Main St
Glastonbury, CT 06033-1027 - Phone
- (860) 633-4186
- Fax
- (860) 633-4518
- NPI assigned
- Jul 13, 2016
- Last updated
- Jul 13, 2016
- Sex
- Male
- Sole proprietor
- No
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 | PCT. 0013741 | CT | Primary |
Addresses
Primary practice location
2900 Main St
Glastonbury, CT 06033-1027
Mailing address
2900 Main St
Glastonbury, CT 06033-1027
Phone (860) 633-4186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCT. 0013741 | Other | CT | CT PHARMACIST REGISTRATION |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT. 0013741 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1912350075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 MAIN ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331027",
"telephone_number": "860-633-4186",
"fax_number": "860-633-4518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MAIN ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331027",
"telephone_number": "860-633-4186",
"fax_number": "860-633-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT. 0013741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT PHARMACIST REGISTRATION",
"identifier": "PCT. 0013741",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.