Active NPI
Erica M Tautkus, RPH
- Pharmacist
- Norwell, MA
National Provider Identifier
1992308019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21614
- Practice address
- 104 Washington St
Norwell, MA 02061-1712 - Phone
- (781) 871-0183
- NPI assigned
- Nov 19, 2020
- 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 | 21614 | MA | Primary |
Addresses
Primary practice location
104 Washington St
Norwell, MA 02061-1712
Mailing address
101 Canonchet TRL
Marshfield, MA 02050-8228
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cvs | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 21614 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1992308019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CANONCHET TRL",
"city": "MARSHFIELD",
"state": "MA",
"postal_code": "020508228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WASHINGTON ST",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611712",
"telephone_number": "781-871-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUTKUS",
"first_name": "ERICA",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "21614",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cvs",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "104 Washington St",
"city": "Norwell",
"state": "MA",
"country_code": "US",
"postal_code": "020611712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.