Tiffany Hawkridge, PHARM D
Individual provider Active NPI Pharmacist · Delano, MN
NPI 1760107296 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1760107296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 121416 (MN)
- Practice address
- 1400 Babcock Blvd E
Delano, MN 55328-2811 - Phone
- (763) 972-8385
- Fax
- (763) 972-8391
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 121416 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coborns Inc | Past |
Accepting new patients | |
| Coborns Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 121416 | MN | Yes |
Addresses
Primary practice location
1400 Babcock Blvd E
Delano, MN 55328-2811
Mailing address
1400 Babcock Blvd E
Delano, MN 55328-2811
Phone (763) 972-8385
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cobornsinc.com | Health Information Exchange (HIE) |
Other providers in Delano, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. 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.