Tara Lynn Mack, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00020082 Issued in WA

Practice address

3322 132ND St SE
Mill Creek, WA 98012

Phone

(425) 338-1891

Fax

(425) 338-2863

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1922361583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 132ND ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125654",
            "telephone_number": "425-338-1891",
            "fax_number": "425-338-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 132ND ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-338-1891",
            "fax_number": "425-338-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00020082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia J Lyon, MA
• Michelle Marie Mabbott, PTA
• Ewen Macaulay, D.C.
• Jennifer Macdonald
• Haley Machia
• Meredith Ann Magder, LMFT
• Gary James Maguire, MSPT
• Sarah Youssef Makari
• Joy Makdisi, MD
• Navid David Malakouti, M.D.

• Pharmacist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.