Active NPIIndividual provider

Kimberly A Tanger, LICENSED CPHT

Pharmacy Technician in Revere, Massachusetts

NPI Number1518551530
Practice location
430 Broadway, Revere, MA 02151-3058
Fax
781-485-0780
Last updated
February 22, 2021

Kimberly Anne Tanger is a Pharmacy Technician based in Revere, MA. Kimberly Anne Tanger practices in Revere, MA and has the professional credentials of LICENSED CPHT. The NPI Number for Kimberly Anne Tanger is 1518551530 and holds a License No. PT4918 (MA). The current practice location address for Kimberly Anne Tanger is 430 Broadway, Revere, MA 02151-3058 and can be reached out via phone at 781-289-3607 and via fax at 781-485-0780.

Provider Profile Details

NPI Number
1518551530
Provider Name
Kimberly Anne Tanger
Credential
LICENSED CPHT
Provider Entity Type
Individual
Gender
Female
Address
430 Broadway, Revere, MA 02151-3058
Phone Number
781-289-3607
Fax Number
781-485-0780
Primary Taxonomy
Pharmacy Technician · 183700000X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2021
Last Update Date
February 22, 2021
Certification Date
February 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
430 Broadway
Revere, MA 02151-3058
City
Revere
Zip
02151-3058
Phone Number
781-289-3607
Fax Number
781-485-0780
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
32 Pleasant St Apt 1
Wakefield, MA 01880-0032
City
Wakefield
State
MA
Zip
01880-0032
Phone Number
617-307-8900
Fax Number
781-485-0780

License Information

License Number
PT4918
License State
MA
Taxonomy
Pharmacy Technician · 183700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly A Tanger, LICENSED CPHT?

The NPI number of Kimberly A Tanger, LICENSED CPHT is 1518551530. It was assigned on February 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Tanger, LICENSED CPHT?

Kimberly A Tanger, LICENSED CPHT is registered under the primary taxonomy Pharmacy Technician (code 183700000X), licensed in MA under license number PT4918.

Where does Kimberly A Tanger, LICENSED CPHT practice?

The practice location is 430 Broadway, Revere, MA 02151-3058. The office can be reached at 781-289-3607 (phone) or 781-485-0780 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518551530 directly on the NPPES registry website.

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