Active NPI
Manjula Jayabalan, PHARM.D.
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1962891010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000038456
- Practice address
- 1816 Gunbarrel Road
Target Pharmacy
Chattanooga, TN 37421 - Phone
- (423) 490-1418
- NPI assigned
- Jan 13, 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 | 0000038456 | TN | Primary |
Addresses
Primary practice location
1816 Gunbarrel Road
Target Pharmacy
Chattanooga, TN 37421
Mailing address
1816 Gunbarrel Road
Target Pharmacy
Chattanooga, TN 37421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000038456 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1962891010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 GUNBARREL ROAD",
"address_2": "TARGET PHARMACY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 GUNBARREL ROAD",
"address_2": "TARGET PHARMACY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421",
"telephone_number": "423-490-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYABALAN",
"first_name": "MANJULA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000038456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.