Active NPI
Tiffany Lynn Knowles
- Pharmacist
- Bear, DE
National Provider Identifier
1013379932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0005459
- Practice address
- 1545 Pulaski Hwy
Bear, DE 19701-1303 - Phone
- (302) 832-8701
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0005459 | DE | Primary |
| Pharmacist | 183500000X | RP454126 | PA | |
| Pharmacist | 183500000X | PCT0011052 | CT |
Addresses
Primary practice location
1545 Pulaski Hwy
Bear, DE 19701-1303
Mailing address
232 Cardiff Way
Bear, DE 19701-8304
Other practice location 1
1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-4076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT0011052 | CT | MD | Pharmacist |
| A1-0005459 | DE | MD | Pharmacist |
| RP454126 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1013379932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 CARDIFF WAY",
"city": "BEAR",
"state": "DE",
"postal_code": "197018304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 PULASKI HWY",
"city": "BEAR",
"state": "DE",
"postal_code": "197011303",
"telephone_number": "302-832-8701"
}
],
"practiceLocations": [
{
"address_1": "1450 Chapel St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065114405",
"country_code": "US",
"telephone_number": "203-789-4076",
"fax_number": "203-867-5593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOWLES",
"first_name": "TIFFANY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005459",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP454126",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0011052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.