Lisa P Timberlake, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

8574 Issued in TN

Practice address

8130 Country Village Dr
Cordova, TN 38016-2087

Phone

(901) 590-3069

Fax

(901) 590-3069

NPI assigned

Jan 8, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Southmed LLC

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1407928203
  NPD Authorized official
• Southmed LLC

  • Long Term Care Pharmacy
  • Memphis, TN
  • NPI 1023146941
  NPD
• First Pharmacy Services of Country Village

  • Pharmacy
  • Cordova, TN
  • NPI 1043687379
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1982111258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 CLAY POND DR",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380604885",
            "telephone_number": "901-590-3069",
            "fax_number": "901-590-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 COUNTRY VILLAGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162087",
            "telephone_number": "901-590-3069",
            "fax_number": "901-590-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBERLAKE",
        "first_name": "LISA",
        "middle_name": "P",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "8574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FIRSTPHARMACYSERVICES.COM",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8130 Country Village Dr",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380162087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Elizabeth Tidwell, FNP
• Marquita Natalya Tidwell, COTA/L
• Tiffany R Smith
• Rylee Marie Tillman, NCC
• Timber Creek Medical
• Time2Grow
• Annalyse W Tinnin, MD
• Detra Michelle Tisdale, M.D.
• TM Collaborative Network LLC
• Nishelle Todd, BT

• Pharmacist in Cordova, TN
• Providers in Cordova, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.