Coral Tanzey Buchaklian, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2055640 Issued in WI

Practice address

7525 Sheridan Rd
Kenosha, WI 53143-1517

Phone

(262) 652-2396

NPI assigned

Oct 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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
  • Kenosha, WI
  • NPI 1538497797
  NPD
• Walgreen Co

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

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1659978971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELMONT AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052104",
            "telephone_number": "262-880-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531431517",
            "telephone_number": "262-652-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHAKLIAN",
        "first_name": "CORAL",
        "middle_name": "TANZEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "2055640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce F Andrekus, DDS,SC
• Donna M Brunello, O.D.
• Theresa A. Bruner-Leydens, LPC
• Ottie Bruno, PT
• Mitchell Lee Buban
• Jocelyn Marie Buchholtz
• Leela Buddaraju
• Ernesto Erfe Buencamino, MD
• Christine Ann Buffone, M.P.T.
• Kendall Alexis Bunnell

• Pharmacist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.