Individual provider Active NPI

Tanner Burke Corsini, PHARMD

  • Pharmacist
  • Eufaula, OK
National Provider Identifier
1992476782
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14742 Issued in OK
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

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.