TARA PHARMACY SE, LLC (NPI# 1063549368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063549368 |
Entity Type | Organization |
Organization Name | TARA PHARMACY SE, LLC |
Practice Address |
211 Summit Pkwy Suite 112 Homewood AL 35209-4751 |
Practice Telephone | 2059162267 |
Practice Fax Number | 2059160877 |
Mailing Telephone | 2059162267 |
Mailing Fax Number | 2059160877 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. NORBERT A BENNETT (CEO) |
Authorized Official Telephone | 7166624955 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
112737 | AL | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS OF AL | 510 T115 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | TARA PHARMACY SE, LLC | 3690 Southwestern Blvd, Orchard Park, Ny 14127 |
Street Address |
211 SUMMIT PKWY SUITE 112 |
City | HOMEWOOD |
State | AL |
Zip Code | 35209-4751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609847540 | Michael Thomas Walden | Pharmacist | 211 Summit Pkwy, Suite 112, Homewood, AL 35209-4751 | 2006-01-30 |
1770753949 | Cindy Dent | Pharmacist | 211 Summit Pkwy, Suite 112, Homewood, AL 35209-4751 | 2008-03-04 |
1265578975 | Ryan Phillips | Pharmacist | 211 Summit Pkwy, Suite 122, Homewood, AL 35209-4751 | 2007-01-29 |
1073696365 | Tara Pharmacy Se LLC | Pharmacy | 211 Summit Pkwy, Suite 112, Homewood, AL 35209-4751 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
Find all providers in zip 35209 |
Taxonomy Code | 1835G0303X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Geriatric |
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023482270 | Jonathan Tse | Pharmacist | 18604 Carpenter St, Homewood, IL 60430-3536 | 2015-11-25 |
1811323694 | Patsy N. Swanson | Pharmacist | 230 Green Springs Hwy, Homewood, AL 35209-4906 | 2013-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982067500 | Kelly Mooney | Pharmacist | 5024 Kowaliga Rd, Eclectic, AL 36024-4809 | 2016-03-31 |
1780007930 | Ashley Parrish | Pharmacist | 3021 Cambridge Rd, Mountain Brk, AL 35223-1239 | 2014-01-23 |
1295913390 | William G Chism | Pharmacist | 109 Kevin Ln, Clanton, AL 35045-9612 | 2008-01-31 |
1477743029 | Cynthia Mccray Looney | Pharmacist | 3415 River Terrace Dr, Birmingham, AL 35223-2241 | 2007-07-30 |
1174743595 | James Alton Cantrell | Pharmacist | 9751 S Rocky Creek Rd, Cottonwood, AL 36320-4407 | 2007-04-26 |
1700493681 | Caitlin Hill | Pharmacist | 300 Faulkner Dr, Bay Minette, AL 36507-2771 | 2020-09-25 |
1497268130 | Maryam Iranikhah | Pharmacist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2017-11-15 |
1427440825 | Franklin Primary Health Center, Inc | Pharmacist | 1956 Duval St, Mobile, AL 36606-1145 | 2015-02-23 |
1710328679 | Laura Elizabeth Perry | Pharmacist | 5301 Summerville Rd, Phenix City, AL 36867-7423 | 2013-07-08 |
1447533526 | Tucker Dee Simmons I | Pharmacist | 2515 Crawford Rd, Phenix City, AL 36867-3629 | 2011-09-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.