Active NPI
Tiffanee Lyons, PHARMD
- Pharmacist
- Columbia, MD
National Provider Identifier
1457534950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02970500
- Practice address
- 6111 Dobbin Rd
Columbia, MD 21045-2898 - Phone
- (410) 290-1660
- NPI assigned
- Dec 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22831 | MD | |
| Pharmacist | 183500000X | 28RI02970500 | NJ | Primary |
Addresses
Primary practice location
6111 Dobbin Rd
Columbia, MD 21045-2898
Mailing address
111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-2472
Other names 1
- Dr. Tiffanee Sanderson
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 |
|---|---|---|---|
| 28RI02970500 | NJ | MD | Pharmacist |
| 22831 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1457534950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021909",
"telephone_number": "973-877-2472",
"fax_number": "973-877-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 DOBBIN RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452898",
"telephone_number": "410-290-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "TIFFANEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22831",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02970500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANEE",
"last_name": "SANDERSON",
"prefix": "DR.",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.