Active NPI
Tiffany K Terry
- Pharmacy Technician
- Tacoma, WA
National Provider Identifier
1578095105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10063756
- Practice address
- Madigan Army Medical Center 9040 Jackson Ave
Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1017 - Phone
- (253) 625-6044
- NPI assigned
- Apr 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | VA60042381 | WA | |
| Pharmacy Technician | 183700000X | 10063756 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Ave
Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1017
Mailing address
9214 S Ainsworth Ave
Tacoma, WA 98444-4262
Phone (253) 625-6044
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 |
|---|---|---|---|
| 10063756 | WA | MD | Pharmacy Technician |
| VA60042381 | WA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491091200000",
"number": "1578095105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9214 S AINSWORTH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984444262",
"telephone_number": "253-625-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
"address_2": "ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311017",
"telephone_number": "253-625-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "TIFFANY",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-02",
"last_updated": "2017-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA60042381",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "10063756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.