Tiffany Braham, PHARM.D
Individual provider Active NPI Pharmacist · Mahopac, NY
NPI 1730439191 · NPPES record last updated Sep 13, 2012
Key facts
- NPI
- 1730439191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0571441 (NY)
- Practice address
- 159 Route 6
Mahopac, NY 10541-2204 - Phone
- (845) 628-5299
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0571441 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of New York Inc | Past | Accepting new patients | |
| Rite Aid of New York Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0571441 | NY | Yes |
Addresses
Primary practice location
159 Route 6
Mahopac, NY 10541-2204
Mailing address
3007 S Deerfield Ave
Yorktown Heights, NY 10598-2434
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.