Active NPI
Tiffany Lynn Esarey, PHARM D
- Pharmacist
- Liberal, KS
National Provider Identifier
1033609391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13467
- Practice address
- 250 E Tucker Rd
Liberal, KS 67901-2188 - Phone
- (620) 626-4240
- NPI assigned
- May 12, 2018
- Last updated
- May 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-16325 | KS | |
| Pharmacist | 183500000X | 13467 | OK | Primary |
Addresses
Primary practice location
250 E Tucker Rd
Liberal, KS 67901-2188
Mailing address
1605 S Jefferson St
Hugoton, KS 67951-3040
Phone (918) 231-6809
Other practice location 1
2600 N Highway 64
Guymon, OK 73942-2751
Phone (580) 338-1312
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-16325 | KS | MD | Pharmacist |
| 13467 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wal-Mart Pharmacy 10-1437
- Community/Retail Pharmacy
- Guymon, OK
- NPI 1306863428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526083200000",
"number": "1033609391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 S JEFFERSON ST",
"city": "HUGOTON",
"state": "KS",
"postal_code": "679513040",
"telephone_number": "918-231-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E TUCKER RD",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012188",
"telephone_number": "620-626-4240"
}
],
"practiceLocations": [
{
"address_1": "2600 N Highway 64",
"address_purpose": "LOCATION",
"city": "Guymon",
"state": "OK",
"postal_code": "739422751",
"country_code": "US",
"telephone_number": "580-338-1312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESAREY",
"first_name": "TIFFANY",
"middle_name": "LYNN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-12",
"last_updated": "2018-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-16325",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberal, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.