Tiffany A Chobanian, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR71051 Issued in ME

Practice address

295 Kennedy Memorial Dr
Waterville, ME 04901-4535

Phone

(207) 810-7470

Fax

(207) 810-7478

NPI assigned

Dec 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany A Shaw Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Daly Hospital

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  NPD (past)

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1275246076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014535",
            "telephone_number": "207-810-7470",
            "fax_number": "207-810-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014535",
            "telephone_number": "207-810-7470",
            "fax_number": "207-810-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOBANIAN",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR71051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cerner",
            "affiliation": "N",
            "address_1": "295 Kennedy Memorial Dr",
            "city": "Waterville",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049014535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SHAW",
            "middle_name": "A",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Raymond Chasse, MD
• Ramon Elias Cheleuitte, MD
• Yawen Chen, DMD
• Child Development Services
• Melinda Choate, RDH
• Rebecca Cover Cirillo, COTA
• City of Waterville (Waterville Fire Department)
• Lisa A Clarcq, DO
• Ashley Nicole Clark, LMSW-CC
• Peter A Clark, LCSW

• Pharmacist in Waterville, ME
• Providers in Waterville, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.