Rajen L Thanki

Primary specialty

PharmacistTaxonomy code 183500000X

License

041525 Issued in MO

Practice address

13455 Manchester Rd
Saint Louis, MO 63131-1711

Phone

(314) 822-2006

Fax

(314) 822-0738

NPI assigned

Nov 5, 2020

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1174124192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 BARRETT SPRINGS DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630213817",
            "telephone_number": "314-680-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311711",
            "telephone_number": "314-822-2006",
            "fax_number": "314-822-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANKI",
        "first_name": "RAJEN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chatsuda Thamrongsak, MD
• Joanne L Thanavaro, ANP
• Samer Thanavaro, MD
• Tracy Dawn Thangam, ACNP
• Sunitha Thanjavuru, MD
• Arpana Thapa
• Chiniya Thapa, MD
• Sital Thapa
• Leslie M. Tharenos, MD, MPH
• Jared Luke Thatcher, PA

• All providers in Saint Louis, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.