Active NPI
Shani Blyakhman, RPH
- Pharmacist
- Frisco, TX
National Provider Identifier
1558873570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58437
- Practice address
- 10530 John W Elliott Dr Ste 100
Frisco, TX 75033-2014 - Phone
- (800) 874-9179
- NPI assigned
- Oct 31, 2017
- Last updated
- Oct 31, 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 | 58437 | TX | Primary |
Addresses
Primary practice location
10530 John W Elliott Dr Ste 100
Frisco, TX 75033-2014
Mailing address
500 Fairfield CT
McKinney, TX 75070-4930
Phone (612) 594-2252
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58437 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1558873570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRFIELD CT",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750704930",
"telephone_number": "612-594-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10530 JOHN W ELLIOTT DR STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750332014",
"telephone_number": "800-874-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYAKHMAN",
"first_name": "SHANI",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.