Sushma Rao Shiravanthe, BS, PHARMD, BCPS

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

26026674A Issued in IN

Practice address

3801 Miranda Ave
Palo Alto, CA 94304-1207

Phone

(650) 493-5000

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1366909657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ASPEN PL",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031348",
            "telephone_number": "248-767-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAVANTHE",
        "first_name": "SUSHMA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "BS, PHARMD, BCPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26026674A",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IN",
            "license": "26026674A",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26026674A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemin Shin
• Juyeon Shin, NP
• Nancy Maria Shin, PHARM.D.
• Erin Stacy Shinn, M.ED.
• Emi Shiono
• Stephanie Xia Shishido
• Donny T. Shiu, O.D.
• Kathleen Shiver, PHARMD, BCPS
• Moran Shoham
• Andre Shook

• Pharmacotherapy Pharmacist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.