TIFFANY LEE GORDON (NPI# 1922417658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922417658 |
| Entity Type | Individual |
| Full Name | TIFFANY LEE GORDON |
| Credential | PHARMD |
| Practice Address |
501 N 24th St Phoenix AZ 85008-6056 |
| Practice Telephone | 6022206060 |
| Practice Fax Number | 6022206194 |
| Mailing Telephone | 6022206060 |
| Mailing Fax Number | 6022206194 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
S020773 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992959795 | Tiffany Ann Gordon | Physical Therapist | 53 Viburnum Way, Ladera Ranch, CA 92694-0852 | 2008-11-06 |
| 1902421944 | Tiffany Monique Gordon | Social Worker | 255 E Watt St, Alcoa, TN 37701-2236 | 2020-06-16 |
| 1093043242 | Tiffany M Gordon | Nurse's Aide | 4665 E Sunset Dr, Syracuse, IN 46567-9168 | 2009-11-30 |
| Street Address |
501 N 24TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288952 | Lindsey Arendt | Social Worker | 501 N 24th St, Phoenix, AZ 85008-6056 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427304492 | Jessica Emily Hopper | Pharmacist | 529 W Las Palmaritas Dr, Phoenix, AZ 85021-5534 | 2012-07-27 |
| 1346248945 | Melissa Danielle Lamer | Pharmacist | 4801 E Washington St, Phoenix, AZ 85034-2004 | 2005-07-08 |
| 1083611479 | Marilyn Rose Semenchuk | Pharmacist | 16625 S 27th Ln, Phoenix, AZ 85045-2207 | 2005-06-30 |
| 1659970325 | Stanley Kupata Mwendar | Pharmacist | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2020-10-22 |
| 1760091060 | Taylor Riedley | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-23 |
| 1891316709 | Sarah Marie Allen | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-05-01 |
| 1629438882 | Taylor Nichols | Pharmacist | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2016-03-02 |
| 1104202464 | Caitlin Dirvonas | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2015-08-09 |
| 1417206319 | Andrea Jeanay Tanzella | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2012-09-06 |
| 1831320183 | Brianna Elise Moody Englett | Pharmacist | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-05 |
| Find all providers in PHOENIX | ||||
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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.