Shibu G Tharakan

Primary specialty

PharmacistTaxonomy code 183500000X

License

052712 Issued in NY

Practice address

603 Uniondale Ave
Uniondale, NY 11553-2637

Phone

(516) 481-4825

Fax

(516) 483-4185

NPI assigned

Oct 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Uniondale, NY
  • NPI 1881945996
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1639322290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CLINTON ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031108",
            "telephone_number": "516-270-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 UNIONDALE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532637",
            "telephone_number": "516-481-4825",
            "fax_number": "516-483-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARAKAN",
        "first_name": "SHIBU",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052712",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "42149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Ann Taffe
• Valerie M Taylor-Haslip, PHD, RN, FNP
• Tiara Marie Taylor, LPN
• Denise Bonnie Tedeschi
• Delmy Tejada
• Theracare
• Danielle Victoria Thomas
• Dexter Thomas, RPH
• Donna Thomas, M.S.
• Elvira Thomas, LPN

• Pharmacist in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.