Active NPI
Bhavna Rajesh Phulwani, PHARM D
- Pharmacist
- Smyrna, TN
National Provider Identifier
1861608945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25628
- Practice address
- 806,Nissan Drive
Smyrna, TN 37167 - Phone
- (615) 355-7546
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- 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 | 25628 | TN | Primary |
Addresses
Primary practice location
806,Nissan Drive
Smyrna, TN 37167
Mailing address
1920,Black Fox Crossing
Murfreesboro, TN 37127
Phone (615) 867-1628
Other names 1
- Ms. Vandana Madhav Radhakrishnani
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
- Doctor of Pharmacy
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": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861608945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920,BLACK FOX CROSSING",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37127",
"telephone_number": "615-867-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806,NISSAN DRIVE",
"city": "SMYRNA",
"state": "TN",
"postal_code": "37167",
"telephone_number": "615-355-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHULWANI",
"first_name": "BHAVNA",
"middle_name": "RAJESH",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "25628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANDANA",
"last_name": "RADHAKRISHNANI",
"middle_name": "MADHAV",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.