Active NPI
Shirin P Tharakan, PHARM. D
- Pharmacist
- Memphis, TN
National Provider Identifier
1306350087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41350
- Practice address
- 5255 Elvis Presley Blvd
Memphis, TN 38116-8233 - Phone
- (901) 346-4994
- NPI assigned
- Nov 17, 2017
- 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 | 41350 | TN | Primary |
Addresses
Primary practice location
5255 Elvis Presley Blvd
Memphis, TN 38116-8233
Mailing address
687 Dickinson St
Memphis, TN 38107-5027
Phone (803) 318-2640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41350 | Other | TN | TENNESSEE BOARD OF PHARMACY |
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": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1306350087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 DICKINSON ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381075027",
"telephone_number": "803-318-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 ELVIS PRESLEY BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381168233",
"telephone_number": "901-346-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THARAKAN",
"first_name": "SHIRIN",
"middle_name": "P",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "41350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BOARD OF PHARMACY",
"identifier": "41350",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.