Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Grullon Tavares

Individual provider Pharmacist · NPI 1154862654

Diana Grullon Tavares is a Pharmacist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

2240 3rd Ave
New York, NY 10035-2904
Phone: (212) 360-1757
Fax: (917) 675-7055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 035341 (NY)

Record details

NPI number1154862654
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESMarch 16, 2017

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