Active NPI
Teresa Shanks Graham, R.PH., BCPP
- Psychiatric Pharmacist
- Madison HTS, VA
National Provider Identifier
1164429098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 0202001802
- Practice address
- 521 Colony Rd
Madison HTS, VA 24572-2105 - Phone
- (434) 947-2081
- Fax
- (434) 947-2998
- NPI assigned
- Jul 7, 2005
- Last updated
- Aug 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 0202001802 | VA | Primary |
Addresses
Primary practice location
521 Colony Rd
Madison HTS, VA 24572-2105
Mailing address
101 Summerwood LN
Forest, VA 24551-1107
Phone (434) 665-0483
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202001802 | VA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1164429098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUMMERWOOD LN",
"city": "FOREST",
"state": "VA",
"postal_code": "245511107",
"telephone_number": "434-665-0483",
"fax_number": "434-947-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 COLONY RD",
"city": "MADISON HTS",
"state": "VA",
"postal_code": "245722105",
"telephone_number": "434-947-2081",
"fax_number": "434-947-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TERESA",
"middle_name": "SHANKS",
"name_prefix": "Ms.",
"credential": "R.PH., BCPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "VA",
"license": "0202001802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison HTS, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.