AMULYA TATACHAR (NPI# 1649666058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649666058 |
Entity Type | Individual |
Full Name | AMULYA TATACHAR |
Credential | PHARMD |
Practice Address |
3500 Camp Bowie Blvd Fort Worth TX 76107-2644 |
Practice Telephone | 8177350490 |
Enumeration Date | 2015-04-13 |
Last Update Date | 2015-04-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
52023 | TX | Pharmacy Service Providers |
Street Address |
3500 CAMP BOWIE BLVD |
City | FORT WORTH |
State | TX |
Zip Code | 76107-2644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568460202 | Lawrence J Cohen | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2005-07-07 |
1033716287 | Lara Lai | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-10-01 |
1659907517 | Marian Gaviola | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-03-22 |
1184266876 | Ashlyn Aguiniga | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-10-14 |
1114580792 | Ross Terada | Student in an Organized Health Care Education/Training Program | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-04-18 |
1811461494 | Patrick Gerard Clay | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-01-16 |
1043786478 | Crystal Howell | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2018-10-24 |
1891291480 | Maricar Conson | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2018-04-02 |
1871033837 | Thomas William Cawood | Student in an Organized Health Care Education/Training Program | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2017-02-24 |
1437606282 | Jose Ortiz | Physician Assistant | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2016-09-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
1669810586 | Ralph Winston Jr. | Pharmacist | 3513 Welsh Ct, Fort Worth, TX 76244-9473 | 2013-06-13 |
1356640049 | Gregory W Gossman | Pharmacist | 3921 Hwy 377 South, Fort Worth, TX 76116 | 2011-03-21 |
1528667961 | Jae Ki Lee | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-10-17 |
1053919555 | Chad Weissinger | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-10-15 |
1104437466 | Coy Johnson | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-08-11 |
1053929901 | Brenton C Hall | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-07-16 |
1033733936 | Kevin Guilbeau | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-06-05 |
1699306282 | Phung Trinh | Pharmacist | 9114 Camp Bowie West Blvd, Fort Worth, TX 76116-6023 | 2020-01-31 |
1215567961 | Christopher Lowe | Pharmacist | 3510 Altamesa Blvd, Fort Worth, TX 76133-5602 | 2020-01-22 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76107 |
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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.