NPI age
11 years
Enumerated 2015-01-21
● Active
Type 1 · Individual
Gayle M Tanenbaum, BS, RPH
Tanenbaum is 1 of 8 pharmacist providers in Loganville and 1 of 724 in Georgia.
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-01-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 724 active pharmacist providers in Georgia.
NPI age
11 years
↑ 5 yr above median (6 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-01Enumerated in NPPES
2015
2026
Where they practice
Practice location
1401 Bulloch Lake Ct
Loganville, GA 300528649
Mailing address
1401 Bulloch Lake Ct
Loganville, GA 300528649
Specialties
-
Pharmacist PrimaryPharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RPH022160 | PHARMACIST LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.