Active NPI
Tanner Burke Corsini, PHARMD
- Pharmacist
- Eufaula, OK
National Provider Identifier
1992476782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14742
- Practice address
- 310 S 1St St
Eufaula, OK 74432-3202 - Phone
- (918) 388-7498
- NPI assigned
- Sep 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 14742 | OK | Primary |
Addresses
Primary practice location
310 S 1St St
Eufaula, OK 74432-3202
Mailing address
38 Stoney Spring CV
Eufaula, OK 74432-5900
Other practice location 1
38 Stoney Spring Cv
Eufaula, OK 74432-5900
Phone (918) 388-7498
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 |
|---|---|---|---|
| Boomer Solutions LLC | Current | Accepting new patients | |
| Guardian Pharmacy of Oklahoma City, LLC | Current | Accepting new patients |
Locations
310 S 1st St
Eufaula, OK 74432
Phone (877) 774-3706
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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Oklahoma City, OK
- NPI 1538936471
-
- Long Term Care Pharmacy
- Eufaula, OK
- NPI 1477876159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1992476782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 STONEY SPRING CV",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744325900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S 1ST ST",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744323202",
"telephone_number": "918-388-7498"
}
],
"practiceLocations": [
{
"address_1": "38 Stoney Spring Cv",
"address_purpose": "LOCATION",
"city": "Eufaula",
"state": "OK",
"postal_code": "744325900",
"country_code": "US",
"telephone_number": "918-388-7498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORSINI",
"first_name": "TANNER",
"middle_name": "BURKE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.