DR. TIASARA MACK PHARMD NPI 1699377135

NPI Information

NPI: 1699377135
Provider Name: DR. TIASARA MACK, PHARMD
Classification: Pharmacist - 1835G0303X
Entity Type: Individual

Specialization: Geriatric

Address:
1832 KEMPSVILLE RD
VIRGINIA BEACH, VA
ZIP 23464
Phone: (757) 278-2573
Get Directions

DR. Tiasara Mack, PHARMD is a geriatric pharmacist in Virginia Beach, VA. The provider is 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. DR. Tiasara Mack, PHARMD NPI is 1699377135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1832 KEMPSVILLE RD
VIRGINIA BEACH, VA
ZIP 23464-861
Phone: (757) 278-2573

The enumeration date for this NPI number is 11/10/2020 and was last updated on 11/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835G0303X	Pharmacist	Geriatric	0202215182	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0202215182	OTHER	VIRGINIA	VIRGINIA BOARD OF PHARMACY LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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