Provider Demographics
NPI:1235833708
Name:KOKOY, SHAHRISTAN RASHID (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHAHRISTAN
Middle Name:RASHID
Last Name:KOKOY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHAHRISTAN
Other - Middle Name:LOKMAN
Other - Last Name:RASHID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2000 SHAYLIN LOOP
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-8406
Mailing Address - Country:US
Mailing Address - Phone:615-609-3735
Mailing Address - Fax:
Practice Address - Street 1:1310 24TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-873-6238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN453511835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy