Active NPI
Tiffany Colette Walter
- Pharmacist
- Selinsgrove, PA
National Provider Identifier
1932819190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457357
- Practice address
- 980 N Susquehanna TRL
Selinsgrove, PA 17870-7766 - Phone
- (570) 374-0299
- NPI assigned
- Nov 29, 2022
- 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 | RP457357 | PA | Primary |
Addresses
Primary practice location
980 N Susquehanna TRL
Selinsgrove, PA 17870-7766
Mailing address
980 N Susquehanna TRL
Selinsgrove, PA 17870-7766
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 |
|---|---|---|---|
| RP457357 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675555200000",
"number": "1932819190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 N SUSQUEHANNA TRL",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178707766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N SUSQUEHANNA TRL",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178707766",
"telephone_number": "570-374-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "TIFFANY",
"middle_name": "COLETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2023-02-05",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP457357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selinsgrove, PA
- Monica Marie Vansickle
- Vision Max
- Joanna Wagner, PA-C
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2185)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Tina Marie Watkins
- Weis Markets Inc (Weis Pharmacy #226)
- Wellspan Medical Group (WellSpan Family Medicine)
- Ashlee D. Wertman, DO
- Bonnie L Whipple, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.