Individual provider Active NPI

Tiffany Garner Lyon, PHARMD

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1922620772
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63533 Issued in TX
Practice address
2701 N Mesa St Ste 100a
El Paso, TX 79902-2543
Phone
(915) 444-3423
Fax
(915) 444-3424
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00009270 NM
Pharmacist 183500000X 63533 TX Primary

Addresses

Primary practice location

2701 N Mesa St Ste 100a
El Paso, TX 79902-2543

Mailing address

7968 Crescent Moon PL
El Paso, TX 79932-1069
Phone (915) 227-7637

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

LicenseStateTypeSpecialty
63533TXMDProfessional Counselor
RP00009270NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 21, 2022 Accepting new patients
Walgreen Co PastSince May 17, 2020 Accepting new patients

Locations

2701 N Mesa St
Ste 100A
El Paso, TX 79902
Phone (915) 444-3423

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1922620772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7968 CRESCENT MOON PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321069",
            "telephone_number": "915-227-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N MESA ST STE 100A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022543",
            "telephone_number": "915-444-3423",
            "fax_number": "915-444-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "TIFFANY",
        "middle_name": "GARNER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009270",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.