Tiffany-Davis Drug Co.

Primary specialty

PharmacistTaxonomy code 183500000X

License

NPA0006963 Issued in OR

Legal business name

TIFFANY-DAVIS DRUG CO.

Practice address

960 Oak St
Eugene, OR 97401-3106

Phone

(541) 686-8304

Fax

(541) 686-8522

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dale B. Engel, R.PH.

Title

President

Phone

(541) 342-2148

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tiffany's Gold Cross Drug #90 Doing business as

Tax ID family

Tiffany'S Drug 25 Bi-Mart Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tiffany-Davis Drug Co.

  • Pharmacist
  • Florence, OR
  • NPI 1831295120
  NPD tax ID

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508962317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013106",
            "telephone_number": "541-342-2148",
            "fax_number": "541-686-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013106",
            "telephone_number": "541-686-8304",
            "fax_number": "541-686-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY-DAVIS DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-342-2148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "NPA0006963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198721",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3801669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany's Gold Cross Drug #90",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Ashlee Thurston, B.S.
• Thy Care Consulting LLC
• Arthur R Ticknor, DC
• Kelsi Tidball
• Robin Lynn Tiedeman, M.S.W.
• Tonya Tigart, LAC.
• Patrick Tilcock, QMHP
• Kristi Daria Till
• Andrew Trevor Tillman, DMD
• Darryl Tillo

• Pharmacist in Eugene, OR
• Providers in Eugene, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.