National Provider Identifier
Jessica Lynn Tahara, PHARMD
Jessica Lynn Tahara, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in North Tonawanda, NY and a listed phone number of (716) 693-0294.
Profile Overview
- NPI
- 1023638236
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- April 17, 2020
- Last Updated
- April 17, 2020
Practice Location
- 955 Payne Ave
- North Tonawanda, NY 14120-3213
Phone: (716) 693-0294
Mailing Address
- 1327 Vanderbilt Ave
- Niagara Falls, NY 14305-1649
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1023638236
- Entity Type
- Individual
- Last Name
- Tahara
- First Name
- Jessica
- Middle Name
- Lynn
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 1327 Vanderbilt Ave
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14305-1649
- Mailing Country
- US
- Mailing Phone
- (716) 998-5455
- Practice Street Address
- 955 Payne Ave
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-3213
- Practice Country
- US
- Practice Phone
- (716) 693-0294
- Enumeration Date
- April 17, 2020
- Last Updated
- April 17, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)