Active NPI
Tiffany Mary Crowell, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Warsaw, MO
National Provider Identifier
1669074993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 2017022610
- Practice address
- 103 W Polk St
Warsaw, MO 65355-3297 - Phone
- (660) 438-2207
- Fax
- (660) 438-4304
- NPI assigned
- Nov 11, 2020
- Last updated
- Nov 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 2017022610 | MO | Primary |
Addresses
Primary practice location
103 W Polk St
Warsaw, MO 65355-3297
Mailing address
103 W Polk St
Warsaw, MO 65355-3297
Phone (660) 438-2207
Other names 1
- Dr. Tiffany Wingender
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 |
|---|---|---|---|
| 2017022610 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walmart Pharmacy 10-0250
- Community/Retail Pharmacy
- Warsaw, MO
- NPI 1134146467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1669074993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W POLK ST",
"city": "WARSAW",
"state": "MO",
"postal_code": "653553297",
"telephone_number": "660-438-2207",
"fax_number": "660-438-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W POLK ST",
"city": "WARSAW",
"state": "MO",
"postal_code": "653553297",
"telephone_number": "660-438-2207",
"fax_number": "660-438-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWELL",
"first_name": "TIFFANY",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MO",
"license": "2017022610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "WINGENDER",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.