Healthcare Provider Details

I. General information

NPI: 1922826247
Provider Name (Legal Business Name): TESNIM SHASH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3177 S PERKINS RD
MEMPHIS TN
38118-4354
US

IV. Provider business mailing address

7705 POPLAR AVE STE 170
GERMANTOWN TN
38138-3969
US

V. Phone/Fax

Practice location:
  • Phone: 901-365-4440
  • Fax:
Mailing address:
  • Phone: 901-516-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48091
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: