Tara Marie McKenna, PharmD
Pharmacist in Woodlyn, PA. Individual provider (NPI-1).
NPI number1285205666
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1285205666
- Entity type
- Individual (NPI-1)
- Name
- Tara Marie McKenna
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | rp455688 | PA | Yes |
Practice location
103 Wilson AveWoodlyn, PA 19094-1728
Phone 484-480-4376
Mailing address
103 Wilson AveWoodlyn, PA 19094-1728
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Pharmacist providers in Woodlyn · All 52 providers in Woodlyn
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