Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043642317 Individual Practitioner Female Practitioner

Dr. Kimberly Joanna Tilley , PharmD

Pharmacist • Fairfax, OK

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Tilley, PharmD is a registered healthcare professional specializing in Pharmacist in Fairfax, OK. Practice services are available at 400 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 N Main St

Fairfax, OK 746371548

Telephone 9185197960
Associated Practice Facility / Clinic
🏢 Fairfax Pharmacy Llc Facility NPI 1437721008

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fairfax, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Fairfax, OK (3455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK 15036

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.

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NUCC Taxonomy Code: 1835P0018X

State License OK 15036

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.

Secondary Practice Locations

57750 E 52 Rd

Maramec, OK 740456036

Phone: 9185197960

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2021

Pharmacist (License #15036 in OK)

📍
Updated Practice Location July 14, 2021

Registered at 400 N MAIN ST, FAIRFAX, OK 746371548 (Tel: 9185197960)

📍
Updated Business Mailing Address July 14, 2021

Registered at 357750 E 5200 RD, MARAMEC, OK 740451010 (Tel: 9185197960)

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2013

Registered at 57750 E 52 RD, MARAMEC, OK 740456036 (Tel: 9185197960)

📍
Updated Business Mailing Address August 08, 2013

Registered at 57750 E 52 RD, MARAMEC, OK 74045 (Tel: 9185197960)

👤
Provider Name / Credentials Updated August 08, 2013

Recorded as KIMBERLY TILLEY, PHARM. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Pharmacist (License #15036 in OK)

🟢
Initial NPI Registration & Enumeration August 08, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043642317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2013
Last Update: September 29, 2021
Sole Proprietor: Yes

Mailing Address

357750 E 5200 Rd

Maramec, OK 740451010

Phone: 9185197960

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.