TIFFANY GRIMM (NPI# 1225318942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225318942 |
| Entity Type | Individual |
| Full Name | TIFFANY GRIMM |
| Credential | PHARM D |
| Practice Address |
6400 Hoadly Rd Manassas VA 20112-3436 |
| Practice Telephone | 7032596396 |
| Mailing Telephone | 7032596390 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202209367 | VA | Pharmacy Service Providers |
| Street Address |
6400 HOADLY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20112-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134451818 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Hoadly Rd, Manassas, VA 20112-3436 | 2010-02-05 |
| 1144504853 | Hend M Abu-joudeh | Pharmacist | 6400 Hoadly Rd, Manassas, VA 20112-3436 | 2011-09-30 |
| 1992087944 | Mylinh Nguyen | Pharmacist | 6400 Hoadly Rd, Manassas, VA 20112-3436 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1174837165 | Carol M Cantello | Occupational Therapist | 12676 Cobblestone Ct, Manassas, VA 20112 | 2010-08-02 |
| 1245429935 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6360 Hoadly Rd, Manassas, VA 20112 | 2007-10-18 |
| 1780765982 | Cheryl Lynn Toulouse | Nurse Practitioner | Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 | 2006-10-17 |
| 1295224889 | Priscilla Amfo | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2018-05-09 |
| 1548627797 | Dawnita Truitt-calderone | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112 | 2016-01-19 |
| 1275998486 | Courtney Harless | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2015-12-15 |
| 1205106069 | Andre Delray Route | Home Health Aide | 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 | 2012-01-10 |
| 1548369390 | Mark A Bodwalk | Counselor | 6922 Newman Rd, Clifton, VA 20112-1613 | 2006-09-21 |
| Find all providers in zip 20112 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000430 | Sarah Kim | Pharmacist | 12745 Galveston Ct, Manassas, VA 20112-8675 | 2020-10-15 |
| 1306284526 | Adesola Adekoya | Pharmacist | 10836 Clover Ct, Manassas, VA 20109-7250 | 2013-06-10 |
| 1649544388 | Sahar Karimi | Pharmacist | 10701 Rosemary Drive, Manassas, VA 20109 | 2012-02-27 |
| 1154607034 | Lawrence P Gonzales | Pharmacist | 8697 Sudley Road, Manassas, VA 20110 | 2011-10-24 |
| 1245522945 | Thuy-trang Luong | Pharmacist | 10060 Market Circle, Manassas, VA 20110 | 2011-05-12 |
| 1710279021 | Natalie Curling | Pharmacist | 8261 Shoppers Sq, Manassas, VA 20111-2176 | 2011-05-04 |
| 1336440981 | Rash N Elsaftawy | Pharmacist | 9637 Janet Rose Ct, Manassas, VA 20111-2537 | 2010-11-14 |
| 1881916914 | Barbara Lanette Allen | Pharmacist | 7807 Sudley Rd, Manassas, VA 20109-2805 | 2010-02-16 |
| 1427280858 | Joel R Barnes | Pharmacist | 8697 Sudley Rd, Manassas, VA 20110-4588 | 2009-08-18 |
| 1508001348 | Anteneh Endashaw | Pharmacist | 9271 Sudley Rd, Manassas, VA 20110-5222 | 2008-12-09 |
| Find all providers in MANASSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.