Active NPI
Tena Mather, RPH
- Pharmacotherapy Pharmacist
- Truckee, CA
National Provider Identifier
1922498963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 50083
- Practice address
- 10121 Pine Ave
Truckee, CA 96161-4835 - Phone
- (530) 582-3430
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 50083 | CA | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 16483 | WA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 17544 | NV |
Addresses
Primary practice location
10121 Pine Ave
Truckee, CA 96161-4835
Mailing address
PO Box 759
Truckee, CA 96160-0759
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50083 | CA | MD | Pharmacotherapy Pharmacist |
| 17544 | NV | MD | Pharmacotherapy Pharmacist |
| 16483 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1922498963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 759",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961600759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614835",
"telephone_number": "530-582-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHER",
"first_name": "TENA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "50083",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "16483",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NV",
"license": "17544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.