Tara Brill
Pharmacist in Orange Park, FL. Individual provider (NPI-1).
NPI number1992457006
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1992457006
- Entity type
- Individual (NPI-1)
- Name
- Tara Brill
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2022
- Certification date
- Jan 13, 2022
- Last updated
- Jan 20, 2022
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 | ps48446 | FL | Yes |
Practice location
899 Blanding BlvdOrange Park, FL 32065-8917
Phone 904-272-7801
Mailing address
1803 Wright AveJacksonville, FL 32207-6549
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 78 Pharmacist providers in Orange Park · All 2,903 providers in Orange Park
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