Active NPI
Tiffany Desilets
- Pharmacist
- Radcliff, KY
National Provider Identifier
1821690405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020999
- Practice address
- 1165 Walmart Way
Radcliff, KY 40160-1471 - Phone
- (270) 352-2730
- NPI assigned
- Nov 10, 2020
- Last updated
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 020999 | KY | Primary |
Addresses
Primary practice location
1165 Walmart Way
Radcliff, KY 40160-1471
Mailing address
1165 Walmart Way
Radcliff, KY 40160-1471
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020999 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1821690405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 WALMART WAY",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 WALMART WAY",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601471",
"telephone_number": "270-352-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESILETS",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "020999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
- Cumberland Family Medical Center Inc (North Middle Healthy Kids Clinic)
- Rosemary Cundiff
- Kayla Curtsinger
- David K Moore OD PLLC (the Eye Center of Radcliff)
- Rhianna Danielle Defee
- Errol Deveaux, DDS
- Donald Emerson Dick
- Dixie Infusion Clinic, LLC (Vital Care Infusion Clinic - Radcliff)
- Kim DO, R.PH
- Doctors PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.