MYTHILI TARALA


Address: 54 Bonnie Ct, Bristol, CT 06010-5994
Phone: 8605837809

MYTHILI TARALA (NPI# 1699281113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699281113
Entity Type Individual
Full Name MYTHILI TARALA
Practice Address 54 Bonnie Ct
Bristol
CT 06010-5994
Practice Telephone 8605837809
Mailing Telephone 8605837809
Enumeration Date 2017-12-19
Last Update Date 2017-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 11465 CT Pharmacy Service Providers

Office Location

Street Address 54 BONNIE CT
City BRISTOL
State CT
Zip Code 06010-5994

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1962062810 Ariel Morley Urology 15 Riverside Avenue, Bristol, CT 06010 2019-06-13
1013439488 Theresa Rose Manolitsis Student in an Organized Health Care Education/Training Program 170 Pondview Lane, Bristol, CT 06010 2017-07-07
1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1346609955 Monika Magdalena Sullivan Nurse Practitioner 122 Maple Street, Bristol, CT 06010 2016-02-11
1346660776 Peter Bellezza Podiatrist 15 Riverside Ave, Bristol, CT 06010 2014-04-24
1487088001 Stephen Alexander Merwin Social Worker 32 Laird Drive, Bristol, CT 06010 2013-08-30
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113791 Jamie Lester Pharmacist 21531 Market Ctr, Bristol, VA 24202-1808 2020-10-30
1750897666 Ray Mcclellan Massengill IIi Pharmacist 15767 Monticello Dr, Bristol, VA 24202-4113 2017-12-15
1740703065 Robert Christopher Isner Jr. Pharmacist 430 N Main St Ste A, Bristol, CT 06010-4117 2017-07-18
1033647755 Alyssa Emily Capuano Pharmacist 2 Betsy Dr, Bristol, RI 02809-4552 2017-05-24
1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1215324611 George Le Pharmacist 90 Maheu St, Bristol, CT 06010-3049 2015-04-23
1457783490 Amber Lynn Schreiner Pharmacist 1 Prince Ln, Bristol, VT 05443-1224 2013-08-01
1306282884 Penni Anne Cheatle Pharmacist 160 Indiana St, Bristol, CT 06010-9138 2013-05-10
1932451473 Katrina A Yoder Pharmacist 300 E Elkhart St, Bristol, IN 46507-9205 2012-10-08
1366738643 Francesco Marini Pharmacist 430-a North Main St, Bristol, CT 06010-4117 2011-06-24
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Competitor

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City BRISTOL
Zip Code 06010

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Dataset Information

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.

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