Active NPI
Tiffany Wheytin Eng, RPH
- Pharmacist
- Lynnwood, WA
National Provider Identifier
1730738717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60975503
- Practice address
- 19507 Highway 99
Lynnwood, WA 98036-5236 - Phone
- (425) 640-0646
- NPI assigned
- Sep 11, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26025784A | IN | |
| Pharmacist | 183500000X | 058882 | NY | |
| Pharmacist | 183500000X | 0202212344 | VA | |
| Pharmacist | 183500000X | PH60975503 | WA | Primary |
Addresses
Primary practice location
19507 Highway 99
Lynnwood, WA 98036-5236
Mailing address
10834 NE 149TH St
Bothell, WA 98011-4829
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26025784A | IN | MD | Pharmacist |
| 058882 | NY | MD | Pharmacist |
| 0202212344 | VA | MD | Pharmacist |
| PH60975503 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1730738717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10834 NE 149TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980114829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19507 HIGHWAY 99",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365236",
"telephone_number": "425-640-0646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "TIFFANY",
"middle_name": "WHEYTIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025784A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058882",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212344",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60975503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.