Tiffany Hawkridge, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

121416 Issued in MN

Practice address

1400 Babcock Blvd E
Delano, MN 55328-2811

Phone

(763) 972-8385

Fax

(763) 972-8391

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Coborns Inc

  dba Coborn's Pharmacy #2028

  • Community/Retail Pharmacy
  • Delano, MN
  • NPI 1902978679
  NPD (past)
• Coborns Inc

  dba Kessler Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, SD
  • NPI 1639966286
  NPD (past)

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1760107296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BABCOCK BLVD E",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553282811",
            "telephone_number": "763-972-8385",
            "fax_number": "763-972-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BABCOCK BLVD E",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553282811",
            "telephone_number": "763-972-8385",
            "fax_number": "763-972-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKRIDGE",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cobornsinc.com",
            "affiliation": "N",
            "endpointDescription": "cobornsinc.om",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 Babcock Blvd E",
            "city": "Delano",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553282811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Friesen, MA, LPCC, LADC
• Roger H Gerloff, DDS
• Grand St Paul CVS LLC (CVS Pharmacy # 05311)
• Greenway Counseling LLC (Melissa Spicer Counseling & Wellness)
• Shantell Harpole
• Elizabeth Olivia Hollands
• Hutchinson Superstore Inc
• Independent School District 879
• Integrated Wound Care Minnesota PLLC
• Briana Johnson

• Pharmacist in Delano, MN
• Providers in Delano, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.