Tiffany Song, PHARM.D. BCPS APH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

11205 Issued in CA

Practice address

6601 White Feather Rd
Joshua Tree, CA 92252-6607

Phone

(760) 366-6431

NPI assigned

Aug 9, 2021

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1811662299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WHITE FEATHER RD",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 WHITE FEATHER RD",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607",
            "telephone_number": "760-366-6431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Indian Canyon Dr Ste E140",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624883",
            "country_code": "US",
            "telephone_number": "760-323-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 E Tachevah Dr Ste 2E204",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922625737",
            "country_code": "US",
            "telephone_number": "760-561-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D. BCPS APH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "84694",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "11205",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Edward Sanchez, ASW
• Ashley Nicole Satkunas, AMFT
• Danielle Segura
• Senai, Inc.
• Christopher Mark Shinar, PHARM.D.
• St Therese Care Home Inc (St Therese Care Home)
• Star Pharmacy LLC (Star Pharmacy)
• Tyler Andrew State, LVN
• Ebony Stone, LVN
• Rita Stroe

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Joshua Tree, CA
• Providers in Joshua Tree, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.