Active NPI
Tiffany Rashel Tisdale
- Pharmacist
- Biloxi, MS
National Provider Identifier
1285505446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-102065
- Practice address
- 2405 Pass Rd
Biloxi, MS 39531-2111 - Phone
- (228) 388-3458
- Fax
- (228) 388-4091
- NPI assigned
- Sep 12, 2025
- 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 | E-102065 | MS | Primary |
Addresses
Primary practice location
2405 Pass Rd
Biloxi, MS 39531-2111
Mailing address
2534 Bryn Mawr Ave
Biloxi, MS 39531-4707
Phone (228) 388-3458
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 |
|---|---|---|---|
| E-102065 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1285505446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 BRYN MAWR AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395314707",
"telephone_number": "228-388-3458",
"fax_number": "228-388-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 PASS RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312111",
"telephone_number": "228-388-3458",
"fax_number": "228-388-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISDALE",
"first_name": "TIFFANY",
"middle_name": "RASHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-12",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-102065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.