Charles Tarasidis, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0202006658 Issued in VA

Practice address

2900 Lamb Cir Ste 1890
Christiansburg, VA 24073-6344

Phone

(540) 589-3246

NPI assigned

Jan 24, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: ctarasidis7844@direct.carilionclinic.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1043774946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 TYLER RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736154",
            "telephone_number": "540-589-3246",
            "fax_number": "540-639-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR STE 1890",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-589-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASIDIS",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0202006658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gudrun Sykes
• Susan M Sypolt, MD
• Roopak Talwar, DDS
• Alex A Tan, MD
• Andrew Tarasidis
• Theresa Taylor-Graham
• Jill Leanne Taylor
• Laura Taylor, LPC
• Victoria Jean Taylor, LIC. AC
• Tekoa, Inc

• Community/Retail Pharmacy in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.