Tib Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TIB PHARMACY INC

Doing business as

TIB Escalon

Practice address

1900 McHenry Ave Ste 205
Escalon, CA 95320-9473

Phone

(209) 900-1977

Fax

(209) 900-1774

NPI assigned

Feb 24, 2022

Last updated

Nov 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naweed Muhammad

Title

Ceo

Phone

(510) 902-8080

Specialties & licenses 1

Addresses

Other names 1

• TIB Escalon Doing business as

Tax ID family

Rxnovo LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Rxnovo LLC

  dba TIB Newark

  • Community/Retail Pharmacy
  • Newark, CA
  • NPI 1114464922
  NPD tax ID
• Rxnovo LLC

  dba Tib LTC

  • Long Term Care Pharmacy
  • Newark, CA
  • NPI 1447736509
  NPD tax ID
• Tib Pharmacy Inc

  dba CostPill

  • Mail Order Pharmacy
  • Newark, CA
  • NPI 1427822386
  NPD tax ID

Locations

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1194471425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 MOWRY SCHOOL RD # TEAM0002",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "209-900-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MCHENRY AVE STE 205",
            "city": "ESCALON",
            "state": "CA",
            "postal_code": "953209473",
            "telephone_number": "209-900-1977",
            "fax_number": "209-900-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "NAWEED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-902-8080"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIB Escalon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia Margaret Soares-Tinajero
• Rachel Strmiska, MA, PPS
• John Phillip Tacheff, DDS
• Lori Marisa Terry, RDHAP
• Thrifty Payless Inc (Rite Aid Pharmacy 06434)
• Hollee Turner, RN
• Christine Van Gorkum
• Rachelle Vander Dussen, RN
• Marilyn Alejandra Vega-Wagner
• Kramer Satoru Wong, RPH

• Long Term Care Pharmacy in Escalon, CA
• Providers in Escalon, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.