Veronica Tielke, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00010174 Issued in WA

Practice address

1120 112TH Ave NE
Suite 150
Bellevue, WA 98004-4500

Phone

(425) 688-5846

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Overlake Medical Clinics, LLC

  • Specialist
  • Bellevue, WA
  • NPI 1801828421
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1831524214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16421 SE 17TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085121",
            "telephone_number": "425-922-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 112TH AVE NE",
            "address_2": "SUITE 150",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044500",
            "telephone_number": "425-688-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIELKE",
        "first_name": "VERONICA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00010174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tianyue RDN LLC (Tianyue Nutrition)
• Benjamin Vance Tibbals, MD
• Tibbbi, LLC
• Addison Tice
• Tidal Anesthesia, PLLC
• Tien Hoang DMD PLLC
• Sarah E Tiffany, MA, CRC, AAC
• Zachary Tigert
• Rimma M. Tikhonov, LMP
• Stephen I Tilghman, M.D.

• Pharmacist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.