Active NPI
Raven Tiara Easter, PHARMD
- Pharmacist
- Germantown, TN
National Provider Identifier
1083337059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46559
- Practice address
- 7735 Farmington Blvd
Germantown, TN 38138-2901 - Phone
- (901) 754-7864
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD16304 | AR | |
| Pharmacist | 183500000X | 46559 | TN | Primary |
Addresses
Primary practice location
7735 Farmington Blvd
Germantown, TN 38138-2901
Mailing address
2438 Red Vintage CV
Cordova, TN 38016-0939
Phone (615) 973-3077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD16304 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1083337059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2438 RED VINTAGE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160939",
"telephone_number": "615-973-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7735 FARMINGTON BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382901",
"telephone_number": "901-754-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTER",
"first_name": "RAVEN",
"middle_name": "TIARA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD16304",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "46559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.