Active NPI
Tiffany Failla, PHARM D
- Pharmacist
- Windom, MN
National Provider Identifier
1104222306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121660
- Practice address
- 2155 1St Ave N
Windom, MN 56101-1286 - Phone
- (507) 831-0263
- NPI assigned
- Nov 15, 2014
- Last updated
- Nov 15, 2014
- 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 | 121660 | MN | Primary |
| Pharmacist | 183500000X | 12674 | NE |
Addresses
Primary practice location
2155 1St Ave N
Windom, MN 56101-1286
Mailing address
2155 1St Ave N
Windom, MN 56101-1286
Phone (507) 831-0263
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 |
|---|---|---|---|
| 12674 | NE | MD | Clinical Social Worker |
| 121660 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416009600000",
"number": "1104222306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 1ST AVE N",
"city": "WINDOM",
"state": "MN",
"postal_code": "561011286",
"telephone_number": "507-831-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 1ST AVE N",
"city": "WINDOM",
"state": "MN",
"postal_code": "561011286",
"telephone_number": "507-831-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAILLA",
"first_name": "TIFFANY",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-15",
"last_updated": "2014-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121660",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12674",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windom, MN
- Rodney Wayne Dynes, MD
- Melissa S Edmundson, PHARMD
- Teresa Lynn Elder, M.S.P.T.
- Emily's Family Dentistry
- Engaged Home Care
- Fairmont Orthopedics and Sports Medicine, PA (Center for Specialty Care Windom)
- Lori Ann Fett, APRN, FNP-BC
- Fisher Eye Care Clinic, L.L.C.
- Michael Brandon Fisher, O.D.
- Samantha Franzoi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.