NPI Code Detail JSON Logo

1548660822 NPI number — BELLEH TAKU PHARMD

NPI Number: 1548660822
Health Care Provider/Practitioner: BELLEH TAKU PHARMD

Information about “1548660822” NPI (BELLEH TAKU PHARMD) exists in 1548660822 in HTML format HTML  |  1548660822 in plain Text format TXT  |  1548660822 in PDF (Portable Document Format) PDF  |  1548660822 in an XML format XML  formats.

NPI Number : 1548660822 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548660822",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAKU",
    "FirstName": "BELLEH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6788 S SONORAN BLOOM AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUCSON",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85756-3040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-388-9814",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3910 E 22ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUCSON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85711-5333",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-745-2277",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/25/2014",
    "LastUpdateDate": "08/25/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "S020560",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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