Dr Kimberly Joanna Tilley, PHARM D is a
Pharmacist based in Fairfax, Oklahoma. Dr Kimberly Joanna Tilley is licensed to practice in Oklahoma (license number 15036) and her current practice location is
400 N Main St, Fairfax, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 519-7960.
NPI number for Dr Kimberly Joanna Tilley is 1043642317 and her current mailing address is 357750 E 5200 Rd, Maramec, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043642317.
Healthcare Provider's Profile
Full Name | Dr Kimberly Joanna Tilley |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 400 N Main St, Fairfax, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043642317
- Provider Enumeration Date: 08/08/2013
- Last Update Date: 09/29/2021
Medical Identifiers
Medical identifiers for Dr Kimberly Joanna Tilley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043642317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 15036 (Oklahoma) | Secondary |
183500000X | Pharmacist | 15036 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Joanna Tilley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kimberly Joanna Tilley, PHARM D 357750 E 5200 Rd, Maramec, OK 74045-1010 Ph: (918) 519-7960 | Dr Kimberly Joanna Tilley, PHARM D 400 N Main St, Fairfax, OK 74637-1548 Ph: (918) 519-7960 |
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