Individual provider Active NPI

Victoria Tasie, RPH

  • Pharmacist
  • La Plata, MD
National Provider Identifier
1992087761
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19773 Issued in MD
Practice address
6300 Crain Hwy
La Plata, MD 20646-4259
Phone
(301) 392-6116
Fax
(301) 392-1544
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19773 MD Primary

Addresses

Primary practice location

6300 Crain Hwy
La Plata, MD 20646-4259

Mailing address

6300 Crain Hwy
La Plata, MD 20646-4259
Phone (301) 392-6116

Other identifiers 1

IdentifierTypeStateIssuer
19773OtherMDLICENSE NUMBER

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

LicenseStateTypeSpecialty
19773MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1992087761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CRAIN HWY",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464259",
            "telephone_number": "301-392-6116",
            "fax_number": "301-392-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CRAIN HWY",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464259",
            "telephone_number": "301-392-6116",
            "fax_number": "301-392-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASIE",
        "first_name": "VICTORIA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "19773",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.