Nina L Tillman, INT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

50585 Issued in CA

Practice address

2097 Harrison Ave
Eureka, CA 95501-3211

Phone

(707) 441-8500

NPI assigned

Aug 7, 2025

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lima's Professional Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Eureka, CA
  • NPI 1548347180
  NPD (past)
• Limas Professional Pharmacy

  • Pharmacist
  • Eureka, CA
  • NPI 1770632655
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1043195118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013211",
            "telephone_number": "707-441-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "NINA",
        "middle_name": "L",
        "credential": "INT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "50585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc (Rite Aid Pharmacy 06036)
• Nicole Thurman
• Kristyn Thurmond, LMFT
• June Tian, PHD
• Taylor Smith Tidwell, OTR
• Felines Hornilla Tipton, D.D.S.
• Michael A Tipton, RN
• Michael Anthony Tipton
• Brandon Tisdale
• Matthew John Tiss, DPT

• Pharmacy Technician in Eureka, CA
• Providers in Eureka, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.