TIFFANY TEAGUE (NPI# 1417557034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417557034 |
| Entity Type | Individual |
| Full Name | TIFFANY TEAGUE |
| Credential | PHARMD |
| Practice Address |
2399 S State Road 46 Terre Haute IN 47803-9306 |
| Mailing Address |
108 Naturesview Ct Terre Haute IN 47803-2438 |
| Practice Telephone | 8128722535 |
| Practice Fax Number | 8128722533 |
| Mailing Telephone | 2197794106 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26026371A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297014 | Tiffany Teague | Licensed Practical Nurse | 180 Country Manor Way Apt 11, Webster, NY 14580-3356 | 2018-06-04 |
| 1073971925 | Tiffany Teague | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2016-02-07 |
| Street Address |
2399 S STATE ROAD 46 |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47803-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2399 S State Road 46, Terre Haute, IN 47803-9306 | 2006-08-27 |
| 1215538897 | Michael Jonas Onken | Pharmacist | 2399 S State Road 46, Terre Haute, IN 47803 | 2020-11-02 |
| 1184963688 | Anthony Eti-ukwu | Pharmacist | 2399 S State Road 46, Walmart Pharmacy Inc, Terre Haute, IN 47803-9306 | 2013-02-05 |
| 1790069318 | Kacie Moore | Pharmacist | 2399 S State Road 46, Terre Haute, IN 47803-9306 | 2011-09-30 |
| 1083942536 | Rm Vision PC | Optometrist | 2399 S State Road 46, Walmart Vision Center #4235, Terre Haute, IN 47803-9306 | 2009-11-20 |
| 1649408774 | Rm Vision PC | Optometrist | 2399 S State Road 46, Wal-mart Vision Center, Terre Haute, IN 47803-9306 | 2009-06-26 |
| 1508956962 | Wal-mare Stores East Lp | Eyewear Supplier (Equipment, not the service) | 2399 S State Road 46, Terre Haute, IN 47803-9306 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404940 | Union Associated Physicians Clinic LLC | Family Medicine | 2133 South State Road 46, Terre Haute, IN 47803 | 2019-08-28 |
| 1811435209 | Jon Sagarsee | Specialist/Technologist | 613 Gardendale Rd., Terre Haute, IN 47803 | 2017-02-06 |
| 1184086662 | Nicholas Andreasen | Specialist/Technologist | 614 S Dobbs Glen St, Terre Haute, IN 47803 | 2016-03-24 |
| 1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
| 1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
| 1508272881 | Shirish Sachdeva | Physical Therapist | 5506 E New Margaret Dr, Terre Haute, IN 47803 | 2014-07-07 |
| 1043634041 | Jed Arseneau | Specialist/Technologist | 928 Barton Avenue, Terre Haute, IN 47803 | 2014-02-11 |
| 1689978389 | Affordable Dentures - Terre Haute, P.C. | Dentist | 2801 South Anton Road, Affordable Dentures - Terre Haute, P.C., Terre Haute, IN 47803 | 2011-01-10 |
| 1003003534 | Etheridge Chiropractic Clinic Inc | Chiropractor | 631 S 25th Street, Terre Haute, IN 47803 | 2007-09-28 |
| 1922197599 | David Edward Cox | Dentist | 2510 Hulman St, Terre Haute, IN 47803 | 2006-10-12 |
| Find all providers in zip 47803 | ||||
| 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 |
|---|---|---|---|---|
| 1356783666 | Holly Leedom Melton | Pharmacist | 4211 S Willowbrook Ct, Terre Haute, IN 47802-8789 | 2013-07-27 |
| 1225314685 | Melissa Ann Alexander | Pharmacist | 415 Nitsche Dr, Terre Haute, IN 47803-2425 | 2011-10-31 |
| 1649554726 | Cathy Ann Tarrh | Pharmacist | 3603 S Us 41, Terre Haute, IN 47802 | 2011-10-06 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1194007542 | Christopher Wakefield | Pharmacist | 2040 Lafayette Ave., Terre Haute, IN 47805 | 2011-09-12 |
| 1891810107 | Carmella Lynet Dunn | Pharmacist | 4330 S 6th St, Apt 1, Terre Haute, IN 47802-4276 | 2007-03-20 |
| 1326149733 | Joseph J Lugar Jr. | Pharmacist | 1504 S Center St, Terre Haute, IN 47802-1603 | 2006-09-26 |
| 1750373296 | Gregory Alan Aldrich | Pharmacist | 905 Poplar St, Terre Haute, IN 47807-3725 | 2005-08-19 |
| 1699376509 | Nathan Propst | Pharmacist | 4350 S Us Highway 41, Terre Haute, IN 47802-4407 | 2020-11-06 |
| 1114528601 | April Lynn Ford | Pharmacist | 5555 S Us Highway 41, Terre Haute, IN 47802-4715 | 2020-11-03 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47803 |
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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.