Individual provider Active NPI

Letha Vijayarajan Santhamma, PHARMACIST

  • Pharmacist
  • Thompsons Station, TN
National Provider Identifier
1306432794
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000038801 Issued in TN
Practice address
4805 Columbia Pike
Thompsons Station, TN 37179-5207
Phone
(615) 791-0974
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0000038801 TN Primary

Addresses

Primary practice location

4805 Columbia Pike
Thompsons Station, TN 37179-5207

Mailing address

4805 Columbia Pike
Thompsons Station, TN 37179-5207
Phone (615) 791-0974

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

State licenses

LicenseStateTypeSpecialty
0000038801TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1306432794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 COLUMBIA PIKE",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795207",
            "telephone_number": "615-791-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 COLUMBIA PIKE",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795207",
            "telephone_number": "615-791-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYARAJAN SANTHAMMA",
        "first_name": "LETHA",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000038801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompsons Station, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.