Active NPI
Tiffany Lambert
- Pharmacy Technician
- Lake, WV
National Provider Identifier
1073159455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30066464
- Practice address
- 3005 Main Hewett Creek Rd
Lake, WV 25121-7129 - Phone
- (812) 549-3669
- NPI assigned
- Nov 21, 2019
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30066464 | WV | Primary |
| Pharmacy Technician | 183700000X | PT0006592 | WV |
Addresses
Primary practice location
3005 Main Hewett Creek Rd
Lake, WV 25121-7129
Mailing address
3005 Main Hewett Creek Rd
Lake, WV 25121-7129
Phone (304) 752-4492
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 |
|---|---|---|---|
| 30066464 | WV | MD | Pharmacy Technician |
| PT0006592 | WV | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1073159455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 MAIN HEWETT CREEK RD",
"city": "LAKE",
"state": "WV",
"postal_code": "251217129",
"telephone_number": "304-752-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 MAIN HEWETT CREEK RD",
"city": "LAKE",
"state": "WV",
"postal_code": "251217129",
"telephone_number": "812-549-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WV",
"license": "30066464",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WV",
"license": "PT0006592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.