BRIGETTE SHARIE TISDALE (NPI# 1831731991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831731991 |
| Entity Type | Individual |
| Full Name | BRIGETTE SHARIE TISDALE |
| Other Name | BRIGETTE SHARIE TISDALE |
| Credential | REGISTERED PHARMACIS |
| Practice Address |
2700 Central Fwy Wichita Falls TX 76306-2843 |
| Practice Telephone | 9408552374 |
| Mailing Telephone | 9408552374 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 34945 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE BOARD OF TEXAS | 34945 | 01 |
| Street Address |
2700 CENTRAL FWY |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76306-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912924192 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2700 Central Fwy, Wichita Falls, TX 76306-2843 | 2006-07-16 |
| 1407476260 | Karissa Aira Tismo Coluso | Pharmacist | 2700 Central Fwy, Wichita Falls, TX 76306-2843 | 2020-04-22 |
| 1407333594 | Dylan Ray Cummins | Pharmacist | 2700 Central Fwy, Wichita Falls, TX 76306-2843 | 2018-07-23 |
| 1245716919 | Sheryll Lanette Elliott | Pharmacist | 2700 Central Fwy, Wichita Falls, TX 76306-2843 | 2018-07-16 |
| 1568524601 | Coby Dean Gardner | Pharmacist | 2700 Central Fwy, Wichita Falls, TX 76306-2843 | 2006-12-14 |
| 1467533562 | Wal-mart Stores Texas, Lp | Technician/Technologist | 2700 Central Fwy, Wichita Falls, TX 76306-2843 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881175214 | Kayla Christina Lynn Widener | Occupational Therapy Assistant | 300 Tx -11 Loop, Wichita Falls, TX 76306 | 2018-08-23 |
| 1043767221 | Value Smiles Pllc | Dentist | 2710 Central Freeway, Ste 140, Wichita Falls, TX 76306 | 2016-09-06 |
| 1033511514 | Katryna Ehlinger | Military Health Care Provider | 7656 Chablis Circle, Wichita Falls, TX 76306 | 2014-09-16 |
| 1770701518 | Gary Lee Schultz Jr. | Pharmacist | 2522 Iowa Park Road, Wichita Falls, TX 76306 | 2007-04-24 |
| 1558409482 | United Supermarkets, L.L.C. | Pharmacy | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-02-02 |
| 1679787428 | Cynthia Diane Smith | Pharmacist | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-05-10 |
| 1992932396 | Tina Marie Harris | Military Health Care Provider | 5608 Greentree Ave, Wichita Falls, TX 76306-1145 | 2009-06-12 |
| 1487042453 | Jill Oldham | Behavioral Analyst | 2307 Hunters Gln, Wichita Falls, TX 76306-1148 | 2014-12-29 |
| 1275916306 | Venus Efebo | Counselor | 2511 Missile Rd, Wichita Falls, TX 76306-1321 | 2015-07-07 |
| 1932390192 | Jane Cook | Licensed Vocational Nurse | 4104 Lenore Dr, Wichita Falls, TX 76306-1807 | 2007-08-05 |
| Find all providers in zip 76306 | ||||
| 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 |
|---|---|---|---|---|
| 1770182057 | Himani Vejandla | Pharmacist | 1610 9th St Ste A, Wichita Falls, TX 76301-4305 | 2020-10-19 |
| 1992214696 | John Davidson Franklin IIi | Pharmacist | 4812 Bridge Creek Dr, Wichita Falls, TX 76308-4422 | 2017-09-25 |
| 1154612679 | Ginger Ann Pino | Pharmacist | 4426 Kell Blvd., Wichita Falls, TX 76309-4426 | 2011-05-02 |
| 1639391394 | Amy Louise Walmsley | Pharmacist | 1724 Woodridge Dr, Wichita Falls, TX 76310 | 2007-05-03 |
| 1770701518 | Gary Lee Schultz Jr. | Pharmacist | 2522 Iowa Park Road, Wichita Falls, TX 76306 | 2007-04-24 |
| 1245455476 | Emily Patrice Hays | Pharmacist | 5001 Trinidad Dr, Wichita Falls, TX 76310-3415 | 2007-04-14 |
| 1659455533 | Loretta S Barrington | Pharmacist | 2607 Hairpin Curv, Wichita Falls, TX 76301-6603 | 2006-10-25 |
| 1427659861 | Trudie Lenhardt | Pharmacist | 3801 Kell Blvd, Wichita Falls, TX 76308-1605 | 2020-11-03 |
| 1225642465 | Elizabeth Indah Barika Eb Nchenge | Pharmacist | 2800 Southwest Pkwy, Wichita Falls, TX 76308-4120 | 2020-09-04 |
| 1194338970 | Salini Tom | Pharmacist | 2800 Southwest Pkwy, Wichita Falls, TX 76308-4120 | 2020-08-31 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76306 |
Please comment or provide details below to improve the information on BRIGETTE SHARIE TISDALE.
| 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.