Tristan Diep, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S026071 Issued in AZ

Practice address

13770 W Bell Rd
Surprise, AZ 85374-3865

Phone

(623) 544-2226

NPI assigned

Aug 13, 2020

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1669083440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 W IRMA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853821442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743865",
            "telephone_number": "623-544-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21655 N Lake Pleasant Pkwy",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853827436",
            "country_code": "US",
            "telephone_number": "623-537-4591",
            "fax_number": "623-537-4594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEP",
        "first_name": "TRISTAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026071",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Dianish
• Crystal Renee Diaz, BCBA
• Shane Dickerson, HAD
• Alexandra Marie Dickey, OTR/L
• Tara Dickey, RN
• Celeste Dillon
• Stephen Douglas Dillon, PT
• Danyelle Dingle, PA-C
• Liliana Dirja, RN
• Discharge MD, LLC

• Pharmacist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.