Active NPI
Tiffany Cadwallader
- Pharmacist
- Kansas City, MO
National Provider Identifier
1659960540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23182
- Practice address
- 4801 E Linwood Blvd
Kansas City, MO 64128-2226 - Phone
- (931) 305-8863
- NPI assigned
- Jan 14, 2021
- Last updated
- Aug 2, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pharmacist | 183500000X | 23182 | AL | Primary |
Addresses
Primary practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Mailing address
8609 Newton Ave Apt 2203
Kansas City, MO 64138-2796
Phone (931) 305-8863
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 |
|---|---|---|---|
| 23182 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1659960540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 NEWTON AVE APT 2203",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641382796",
"telephone_number": "931-305-8863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "931-305-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADWALLADER",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "23182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
- Francisco Javier Cabral Amador, MD
- Trevor Benjamin Cabrera, MD
- Cac Services LLC (FirstLight HomeCare Kansas City Northland)
- Cadence Counseling Service LLC
- Carole Cadue-Blackwood
- Chad Michael Cadwell, PHARMD
- Caffrey Comprehensive Services
- Patrick Dolan Caffrey, PH.D.
- Betty Sue Cagle, MD
- Marisa Renee Cahalan, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.