Active NPI
Thira Maris, PHARMD
- Pharmacist
- Berkeley, CA
National Provider Identifier
1275814097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58380
- Practice address
- 1607 Shattuck Ave
Berkeley, CA 94709 - Phone
- (510) 423-9430
- Fax
- (510) 423-9436
- NPI assigned
- Sep 7, 2011
- Last updated
- Sep 7, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 58380 | CA | Primary |
Addresses
Primary practice location
1607 Shattuck Ave
Berkeley, CA 94709
Mailing address
1607 Shattuck Ave
Berkeley, CA 94709-1611
Phone (510) 423-9430
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1275814097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091611",
"telephone_number": "510-423-9430",
"fax_number": "510-423-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94709",
"telephone_number": "510-423-9430",
"fax_number": "510-423-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIS",
"first_name": "THIRA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
- Jersey Margerum
- Maria-Christina Stewart, PH.D. Psychologist, Inc.
- Julie Ann Oqueriza Mariano
- Julia Marino, MD
- Ewa Maris
- Marjan Rusta DDS Inc
- Mark a Fujikawa & Stephen R Chun PTR (The Berkeley Optometric Group)
- Mark and Barbara Sullivan Psychotherapy Inc
- Melissa A. Mark, CRNP
- Jennine Marie Markiewicz, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.