Provider Demographics
NPI:1982435251
Name:HUMPHREY, TAMARA LEIGH (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:LEIGH
Last Name:HUMPHREY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 WOODSON CT
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40071-9640
Mailing Address - Country:US
Mailing Address - Phone:502-422-1480
Mailing Address - Fax:
Practice Address - Street 1:11403 BLUEGRASS PKWY STE 650
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-2301
Practice Address - Country:US
Practice Address - Phone:877-877-3879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY025321183500000X
KYI15856390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes183500000XPharmacy Service ProvidersPharmacist