Active NPI
Tiffany Tyler, PHARM D
- Pharmacist
- Los Banos, CA
National Provider Identifier
1932553492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72701
- Practice address
- 1575 W Pacheco Blvd
Los Banos, CA 93635-8505 - Phone
- (209) 826-9653
- Fax
- (209) 826-8013
- NPI assigned
- Apr 20, 2016
- Last updated
- Apr 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 72701 | CA | Primary |
| Pharmacist | 183500000X | 15827 | OK |
Addresses
Primary practice location
1575 W Pacheco Blvd
Los Banos, CA 93635-8505
Mailing address
1575 W Pacheco Blvd
Los Banos, CA 93635-8505
Phone (209) 826-9653
Other names 1
- Tiffany Brooks
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 |
|---|---|---|---|
| 72701 | CA | MD | Pharmacist |
| 15827 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1932553492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 W PACHECO BLVD",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936358505",
"telephone_number": "209-826-9653",
"fax_number": "209-826-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 W PACHECO BLVD",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936358505",
"telephone_number": "209-826-9653",
"fax_number": "209-826-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72701",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15827",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "BROOKS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.