Active NPI
Micah Tamaray
- Pharmacist
- Manorville, NY
National Provider Identifier
1972182657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067759
- Practice address
- 496 County Road 111 BLDG C
Manorville, NY 11949-3385 - Phone
- (631) 399-0324
- NPI assigned
- Apr 7, 2021
- Last updated
- Apr 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067759 | NY | Primary |
Addresses
Primary practice location
496 County Road 111 BLDG C
Manorville, NY 11949-3385
Mailing address
496 County Road 111 BLDG C
Manorville, NY 11949-3385
Phone (631) 399-0324
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 |
|---|---|---|---|
| 067759 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1972182657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 COUNTY ROAD 111 BLDG C",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493385",
"telephone_number": "631-399-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 COUNTY ROAD 111 BLDG C",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493385",
"telephone_number": "631-399-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMARAY",
"first_name": "MICAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manorville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.