Tiffany DO
Individual provider Active NPI Pharmacist · Red Oak, TX
NPI 1811635535 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1811635535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 40808 (TX)
- Practice address
- Apex Health
505 N Interstate 35
Red Oak, TX 75154 - Phone
- (469) 820-3460
- NPI assigned
- May 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40808 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Scripts RX LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40808 | TX | Yes |
Addresses
Primary practice location
Apex Health
505 N Interstate 35
Red Oak, TX 75154
Mailing address
PO Box 541223
Grand Prairie, TX 75054-1223
Phone (918) 810-1005
Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 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.