TIFFANY NICOLE WATERMAN - NPI 1063397339 - Pharmacist in Ellensburg, WA

Q: What is the provider's specialty?

The provider's specialty is Pharmacist with taxonomy code 1835P0018X and a focus in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist.

On this page

About Tiffany Nicole Waterman NPPES

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

TIFFANY NICOLE WATERMAN (NPI 1063397339) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Ellensburg, Washington, licensed in Washington (61567730) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1063397339

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameTIFFANY NICOLE WATERMAN

Location Address201 S WATER STEllensburg, WA 98926-3675

Mailing Address7081 Cooke Canyon RdEllensburg, WA 98926-5058 · (509) 607-9358

Phone(509) 607-9358

Sole ProprietorYes

Enumeration DateAugust 7, 2025

Last NPPES UpdateMay 25, 20262 updates tracked since enumeration

NPPES CertifiedMay 25, 2026

✔ NPI 1063397339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in WA · 61567730

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

201 S WATER ST, Ellensburg, WA 98926

Open in Google Maps ↗