Healthcare Provider Details

I. General information

NPI: 1144166448
Provider Name (Legal Business Name): TIFFANY KNOLL PHARMD, MS, BCOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S 5TH AVE
WEST READING PA
19611-2143
US

IV. Provider business mailing address

1009 SPINACKER LN
READING PA
19605-2768
US

V. Phone/Fax

Practice location:
  • Phone: 484-628-0946
  • Fax:
Mailing address:
  • Phone: 785-393-1002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRP044345L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: