Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanisha Marangattu Abraham

Individual provider Pharmacist · NPI 1417542325

Tanisha Marangattu Abraham is a Pharmacist in Chesterfield, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2021
Specialties on file
2

Practice location Address checks out

14950 Clayton Rd
Chesterfield, MO 63017-7042
Phone: (636) 527-7873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2021000379 (MO)
Pharmacist Taxonomy 183500000X · Licence 051303536 (IL)

Record details

NPI number1417542325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateFebruary 12, 2021

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