Tiffany DO
Pharmacist in Red Oak, TX. Individual provider (NPI-1).
NPI number1811635535
StatusActive
Last updated in NPPESSep 9, 2022
Details
- NPI
- 1811635535
- Entity type
- Individual (NPI-1)
- Name
- Tiffany DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2022
- Certification date
- Sep 8, 2022
- Last updated
- Sep 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 40808 | TX | Yes |
Practice location
Apex Health505 N Interstate 35
Red Oak, TX 75154
Phone 469-820-3460
Mailing address
Po Box 541223Grand Prairie, TX 75054-1223
Phone 918-810-1005
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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