Active NPI
Megyn Reese Tiller, PHARM.D.
- Pharmacist
- Shreveport, LA
National Provider Identifier
1265443428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13233
- Practice address
- 4351 Finley Dr
Shreveport, LA 71105-3213 - Phone
- (318) 865-9692
- NPI assigned
- Aug 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13233 | LA | Primary |
Addresses
Primary practice location
4351 Finley Dr
Shreveport, LA 71105-3213
Mailing address
4351 Finley Dr
Shreveport, LA 71105-3213
Phone (318) 221-8411
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 |
|---|---|---|---|
| 13233 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265443428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 FINLEY DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711053213",
"telephone_number": "318-221-8411",
"fax_number": "318-429-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 FINLEY DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711053213",
"telephone_number": "318-865-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLER",
"first_name": "MEGYN",
"middle_name": "REESE",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "13233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.