Active NPI
Charles Tabouchirani, B.S. PHARM
- Pharmacist
- New York, NY
National Provider Identifier
1558684308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042026
- Practice address
- 207 E 66TH St
New York, NY 10065-6453 - Phone
- (212) 717-7797
- Fax
- (212) 717-7566
- NPI assigned
- Mar 9, 2010
- Sex
- Male
- 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 | 042026 | NY | Primary |
Addresses
Primary practice location
207 E 66TH St
New York, NY 10065-6453
Mailing address
500 E 85TH St
Apt 12H
New York, NY 10028-7405
Phone (212) 717-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046051 | Other | NY | NY STATE LICENSE NUMBER |
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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042026 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bbrx1Llc | Current | Accepting new patients | |
| Cherry'S Pharmacy | Pharmacist | Current | Accepting new patients |
Locations
207 E 66th St
New York, NY 10065
Phone (212) 717-7797
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1790168862
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1477573806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1558684308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E 85TH ST",
"address_2": "APT 12H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287405",
"telephone_number": "212-717-7797",
"fax_number": "212-717-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E 66TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656453",
"telephone_number": "212-717-7797",
"fax_number": "212-717-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABOUCHIRANI",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "B.S. PHARM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE NUMBER",
"identifier": "046051",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.