Active NPI
Tiffany Lam, PHARMD
- Pharmacist
- Sonoma, CA
National Provider Identifier
1821517657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76444
- Practice address
- 19205 Sonoma Highway
Sonoma, CA 95476 - Phone
- (707) 938-0281
- NPI assigned
- Sep 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76444 | CA | Primary |
Addresses
Primary practice location
19205 Sonoma Highway
Sonoma, CA 95476
Mailing address
PO Box 225052
San Francisco, CA 94122-5052
Phone (415) 819-3982
Other practice location 1
1793 Marlow Rd
Santa Rosa, CA 95401-4474
Phone (707) 544-8875
Other practice location 2
218 N Main St
Sebastopol, CA 95472-3436
Phone (707) 829-3007
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76444 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Sebastopol, CA
- NPI 1174545297
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Santa Rosa, CA
- NPI 1487763900
-
- Community/Retail Pharmacy
- Sonoma, CA
- NPI 1760591127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821517657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 225052",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941225052",
"telephone_number": "415-819-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19205 SONOMA HIGHWAY",
"city": "SONOMA",
"state": "CA",
"postal_code": "95476",
"telephone_number": "707-938-0281"
}
],
"practiceLocations": [
{
"address_1": "1793 Marlow Rd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954014474",
"country_code": "US",
"telephone_number": "707-544-8875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 N Main St",
"address_purpose": "LOCATION",
"city": "Sebastopol",
"state": "CA",
"postal_code": "954723436",
"country_code": "US",
"telephone_number": "707-829-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAM",
"first_name": "TIFFANY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.