Brigette Sharie Tisdale, REGISTERED PHARMACIS

Primary specialty

PharmacistTaxonomy code 183500000X

License

34945 Issued in TX

Practice address

2700 Central Fwy
Wichita Falls, TX 76306-2843

Phone

(940) 855-2374

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brigette Sharie Tisdale Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1831731991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CENTRAL FWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763062843",
            "telephone_number": "940-855-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CENTRAL FWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763062843",
            "telephone_number": "940-855-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISDALE",
        "first_name": "BRIGETTE",
        "middle_name": "SHARIE",
        "credential": "REGISTERED PHARMACIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "34945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF TEXAS",
            "identifier": "34945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGETTE",
            "last_name": "TISDALE",
            "middle_name": "SHARIE",
            "credential": "REGISTERED PHARMACIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sirisha Thummalapenta
• Randy N Thurmond II
• William Lewis Tidmore, M.D.
• Alexa M Tidwell, RBT
• Timothy D. Lee, DDS, PC (Children's Dentistry of Wichita Falls)
• Taylor Franklin Tisdale, DO
• Titanium Emergency Group LLP
• Tmho LLC Texasmentalhealthonline
• Callie Renae Todd, MD
• Elvira Tolentino, M.D.

• Pharmacist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.