Active NPI
Tiffany K Doan
- Pharmacist
- Auburn, WA
National Provider Identifier
1396560280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61579569
- Practice address
- 202 N Division St
Auburn, WA 98001-4939 - Phone
- (253) 545-2405
- NPI assigned
- Nov 18, 2024
- Last updated
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | PH61579569 | WA | Primary |
Addresses
Primary practice location
202 N Division St
Auburn, WA 98001-4939
Mailing address
26910 46TH Ave S
Kent, WA 98032-7149
Phone (206) 458-9959
Other practice location 1
35100 Enchanted Pkwy S
Federal Way, WA 98003-8314
Phone (253) 874-4431
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 |
|---|---|---|---|
| PH61579569 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1396560280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26910 46TH AVE S",
"city": "KENT",
"state": "WA",
"postal_code": "980327149",
"telephone_number": "206-458-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-545-2405"
}
],
"practiceLocations": [
{
"address_1": "35100 Enchanted Pkwy S",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980038314",
"country_code": "US",
"telephone_number": "253-874-4431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOAN",
"first_name": "TIFFANY",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61579569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
- Dustin James Dixon, MED
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC (Precision Dental Arts)
- Dna Consulting Nurse Services
- Alysha DO, RN, BSN
- Jessica Doad
- Marcellis Dodson, DNP, ARNP
- Courtni Dawn Doherty, MS, CCC-SLP
- Margret Marion Dolde
- Estrella Asuncion Domingo, RN
- Tyriel Jacole Dominick
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.