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TATIANA VASILIEVNA GRAHAM PHARMACIST
NPI 1184260713
Pharmacy - Community/Retail Pharmacy in Elkhart, IN

Active since November 19, 2019
901 JOHNSON ST, ELKHART, IN 46514(574) 264-5996 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 21, 2022, Nov 19, 2019 (2 updates tracked since 2019).

About Tatiana Vasilievna Graham Pharmacist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATIANA VASILIEVNA GRAHAM PHARMACIST (NPI 1184260713) is an individual community/retail pharmacy provider in Elkhart, Indiana, licensed in Indiana (26023521A) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1184260713
Entity TypeIndividualFemale
Primary Taxonomy3336C0003X
Provider Legal NameTATIANA VASILIEVNA GRAHAMCredential: PHARMACIST
Location Address901 JOHNSON STElkhart, IN 46514-3329
Mailing Address71210 Indiana Lake DrUnion, MI 49130 · (574) 265-9640
Phone(574) 264-5996
Sole ProprietorYes
Enumeration DateNovember 19, 2019
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1184260713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IN · 26023521A
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacistTaxonomy 183500000X · License 26023521A (IN)
901 JOHNSON ST, Elkhart, IN 46514
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Other Names 1

Former Name (1)Tatiana Vasilievna Mccleary Rph

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
901 JOHNSON ST
ELKHART, IN 46514
Elkhart County (574) 264-5996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatiana Graham's NPI number?

The NPI number for Tatiana Graham is 1184260713. It was assigned to this individual provider in the NPPES registry on November 19, 2019. The provider is also known as Tatiana Vasilievna Mccleary Rph.

Where is Tatiana Graham located?

Tatiana Graham practices at 901 Johnson St, Elkhart, IN 46514. The listed phone number is (574) 264-5996.

What is Tatiana Graham's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Tatiana Graham was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.