Active NPI
Tiffany Ip, PHARMD
- Pharmacist
- Freeland, WA
National Provider Identifier
1699361667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61083570
- Practice address
- 1609 Main St Ste B
Freeland, WA 98249-9467 - Phone
- (360) 331-4700
- NPI assigned
- Dec 14, 2020
- Last updated
- Mar 18, 2021
- 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 | 183500000X | PH61083570 | WA | Primary |
Addresses
Primary practice location
1609 Main St Ste B
Freeland, WA 98249-9467
Mailing address
1609 Main St Ste B
Freeland, WA 98249-9467
Other practice location 1
2619 NW 57th St Unit B
Seattle, WA 98107-3246
Phone (562) 688-6810
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 |
|---|---|---|---|
| PH61083570 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington CVS Pharmacy LLC | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1699361667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 MAIN ST STE B",
"city": "FREELAND",
"state": "WA",
"postal_code": "982499467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 MAIN ST STE B",
"city": "FREELAND",
"state": "WA",
"postal_code": "982499467",
"telephone_number": "360-331-4700"
}
],
"practiceLocations": [
{
"address_1": "2619 NW 57th St Unit B",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981073246",
"country_code": "US",
"telephone_number": "562-688-6810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IP",
"first_name": "TIFFANY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2021-03-18",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61083570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.