Provider Demographics
NPI:1346784246
Name:DESAI, SHARON PULIKKOTTIL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:PULIKKOTTIL
Last Name:DESAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:PULIKKOTTIL
Other - Last Name:XAVIOER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 PIER STE 1A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-2003
Mailing Address - Country:US
Mailing Address - Phone:855-320-5200
Mailing Address - Fax:
Practice Address - Street 1:1 PIER STE 1A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2003
Practice Address - Country:US
Practice Address - Phone:855-320-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76015183500000X, 1835P2201X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care