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DR. NATHAN TILLIS PHARM. D.
NPI 1578897658
Pharmacist in Green Cove Springs, FL

Active since September 23, 2009
2851 HENLEY RD, WINN DIXIE, GREEN COVE SPRINGS, FL 32043(904) 899-6902(904) 291-3288 Get Directions Write a Review

NPPES record last updated: March 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathan Tillis Pharm. D. NPPES

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

DR. NATHAN TILLIS PHARM. D. (NPI 1578897658) is an individual pharmacist in Green Cove Springs, Florida, licensed in Florida (PS34236) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1578897658
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. NATHAN TILLISCredential: PHARM. D.
Location Address2851 HENLEY RD, WINN DIXIEGreen Cove Springs, FL 32043-7204
Mailing Address2851 Henley Rd, Winn DixieGreen Cove Springs, FL 32043-7204 · (904) 899-6902 · Fax (904) 291-3288
Phone(904) 899-6902
Fax(904) 291-3288
Sole ProprietorYes
Enumeration DateSeptember 23, 2009
Last NPPES UpdateMarch 3, 2013
✔ NPI 1578897658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in FL · PS34236✔ Licensed in GA · RPH020986✔ Licensed in WA · PH00053534
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.
2851 HENLEY RD, Green Cove Springs, FL 32043
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Other Providers at the Same Location NPPES

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

LAWRENCE MATTHEW SMITH PHARMD
Pharmacist
2851 HENLEY RD
GREEN COVE SPRINGS, FL 32043
Clay County (904) 899-6902

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 Nathan Tillis's NPI number?

The NPI number for Nathan Tillis is 1578897658. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Nathan Tillis located?

Nathan Tillis practices at 2851 Henley Rd Winn Dixie, Green Cove Springs, FL 32043. The listed phone number is (904) 899-6902.

What is Nathan Tillis'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 Nathan Tillis was last updated on March 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.