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DR. KIMBERLY JOANNA TILLEY PHARM. D.
NPI 1043642317
Pharmacist in Fairfax, OK

Active since August 08, 2013
400 N MAIN ST, FAIRFAX, OK 74637(918) 519-7960 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 29, 2021, Aug 23, 2021, Jul 14, 2021 (3 updates tracked since 2021).

About Dr. Kimberly Joanna Tilley Pharm. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY JOANNA TILLEY PHARM. D. (NPI 1043642317) is an individual pharmacist in Fairfax, Oklahoma, licensed in Oklahoma (15036) and active in the NPI registry since August 2013. She maintains a secondary practice location in Maramec.

NPPES Registry Identity

NPI1043642317
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KIMBERLY JOANNA TILLEYCredential: PHARM. D.
Location Address400 N MAIN STFairfax, OK 74637-1548
Mailing Address357750 E 5200 RdMaramec, OK 74045-1010 · (918) 519-7960
Phone(918) 519-7960
Sole ProprietorYes
Enumeration DateAugust 8, 2013
Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1043642317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in OK · 15036
Definition
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.
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License 15036 (OK)
400 N MAIN ST, Fairfax, OK 74637
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Secondary Practice Location 1

Location 157750 E 52 RdMaramec, OK 74045-6036 · Phone (918) 519-7960

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAIRFAX PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
400 N MAIN ST
FAIRFAX, OK 74637
Osage County (918) 642-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Tilley's NPI number?

The NPI number for Kimberly Tilley is 1043642317. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Kimberly Tilley located?

Kimberly Tilley practices at 400 N Main St, Fairfax, OK 74637. The listed phone number is (918) 519-7960.

What is Kimberly Tilley's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kimberly Tilley was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.