Active NPI
Peris Gacheru
- Pharmacist
- Tulsa, OK
National Provider Identifier
1598139065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16380
- Practice address
- 4423 Southwest Blvd
Tulsa, OK 74107-6472 - Phone
- (918) 446-3541
- NPI assigned
- Nov 21, 2015
- Last updated
- Nov 21, 2015
- 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 | 16380 | OK | Primary |
Addresses
Primary practice location
4423 Southwest Blvd
Tulsa, OK 74107-6472
Mailing address
4423 Southwest Blvd
Tulsa, OK 74107-6472
Phone (918) 446-3541
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16380 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448064000000",
"number": "1598139065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4423 SOUTHWEST BLVD",
"city": "TULSA",
"state": "OK",
"postal_code": "741076472",
"telephone_number": "918-446-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 SOUTHWEST BLVD",
"city": "TULSA",
"state": "OK",
"postal_code": "741076472",
"telephone_number": "918-446-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GACHERU",
"first_name": "PERIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-21",
"last_updated": "2015-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "16380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.