DR. TIFFANY TYLER (NPI# 1932553492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932553492 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY TYLER |
| Other Name | TIFFANY BROOKS |
| Credential | PHARM D |
| Practice Address |
1575 W Pacheco Blvd Los Banos CA 93635-8505 |
| Practice Telephone | 2098269653 |
| Practice Fax Number | 2098268013 |
| Mailing Telephone | 2098269653 |
| Mailing Fax Number | 2098268013 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 15827 | OK | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 72701 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679080154 | Tiffany Denise Tyler | Contractor | 301 Garlington Ave Apt 97, Waycross, GA 31503-2715 | 2018-01-05 |
| 1609316264 | Tiffany Tyler | Nurse Practitioner | 5050 E Kenosha St, Broken Arrow, OK 74014-6711 | 2017-03-01 |
| 1447807821 | Tiffany Tyler | Speech-Language Pathologist | 2600 Compass Rd, Glenview, IL 60026-8001 | 2019-08-21 |
| 1003279852 | Tiffany Marie Tyler | Counselor | 908 Tuolumne St, Vallejo, CA 94590-4641 | 2016-03-30 |
| Street Address |
1575 W PACHECO BLVD |
| City | LOS BANOS |
| State | CA |
| Zip Code | 93635-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792002 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2006-07-16 |
| 1497233589 | Ashish K Mathew | Pharmacist | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2018-08-01 |
| 1063903599 | Madeleine Udonta | Pharmacist | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2018-05-21 |
| 1831569797 | Treesa Babu | Pharmacist | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2015-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1972072528 | Lara Avedian | Physician Assistant | 520 W. Street, Los Banos, CA 93635 | 2018-11-13 |
| 1871095349 | Amy Villada Cabrera | Behavior Technician | 138 Beajolais Ct, Los Banos, CA 93635 | 2018-03-01 |
| 1699107045 | Sonia Vasconcelos | Licensed Vocational Nurse | 14950 Badger Flat Rd., Los Banos, CA 93635 | 2013-08-07 |
| 1275804981 | West Eye Incorporated | Optometrist | 1030 West I Street, Los Banos, CA 93635 | 2012-01-26 |
| 1932418282 | Aspiranet | Community/Behavioral Health | 285 Mercey Springs Road, Suite E, Los Banos, CA 93635 | 2010-10-05 |
| 1669781241 | Benjamin J. Seaton Dds | Dentist | 816 Second St., Los Banos, CA 93635 | 2010-09-30 |
| 1124291711 | Do and Huh, Dds Inc | Dentist | 1989 East Pacheco Blvd, #j, Los Banos, CA 93635 | 2008-04-04 |
| 1831369057 | A. Lujan Recovery Programs Inc. | Substance Abuse Rehabilitation Facility | 80 G. St. Bld. 3, Suite B, Los Banos, CA 93635 | 2008-03-04 |
| 1184807125 | Oscar F Lopez | Specialist | 1791 Mills Dr, Mobile Massage, Los Banos, CA 93635 | 2007-12-13 |
| Find all providers in zip 93635 | ||||
| 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 |
|---|---|---|---|---|
| 1578852802 | Tasi Nightingale Fomukong | Pharmacist | 1317 E Pacheco Blvd, Los Banos, CA 93635-4335 | 2011-04-07 |
| 1871104588 | Spencer Dowell | Pharmacist | 1360 E Pacheco Blvd, Los Banos, CA 93635-4938 | 2020-08-14 |
| 1437760410 | Kelvin Aung | Pharmacist | 1360 E Pacheco Blvd, Los Banos, CA 93635-4938 | 2020-08-12 |
| 1689233199 | Tuan Anh Tran | Pharmacist | 1400 S Mercey Springs Rd, Los Banos, CA 93635-4928 | 2019-06-08 |
| 1770141640 | Jared Yoshizumi | Pharmacist | 1405 W Pacheco Blvd, Los Banos, CA 93635-7806 | 2019-06-04 |
| 1174180335 | Klement Yousefi Benyamin | Pharmacist | 1405 W Pacheco Blvd, Los Banos, CA 93635-7806 | 2019-05-23 |
| 1497233589 | Ashish K Mathew | Pharmacist | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2018-08-01 |
| 1063903599 | Madeleine Udonta | Pharmacist | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2018-05-21 |
| 1225528128 | David Chang | Pharmacist | 1360 E Pacheco Blvd, Los Banos, CA 93635-4938 | 2018-05-16 |
| 1831569797 | Treesa Babu | Pharmacist | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2015-10-03 |
| Find all providers in LOS BANOS | ||||
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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.