MEDICARE: TIFFANY GLOCKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	66293	CA

General Provider Information

NPI Number	:	1093527327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY GLOCKE

Provider Business Mailing Address
First Line	:	4316 EL MACERO DR
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95618-4308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 STOCKTON BLVD # 2100A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2202
Country	:	US
Telephone Number	:	916-734-7726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	01/23/2025

Similar Medicare Providers

1528996592 — EMILY WARNER PHARMD
Practice Location Address:

2300 STOCKTON BLVD
SACRAMENTO, CA
95817-2202

Practice Phone: 916-734-2011
Practice Fax:

1932103520 — DR. GIBBE HULL PARSONS MD
Practice Location Address:

2300 STOCKTON BLVD
SACRAMENTO, CA
95817-2202

Practice Phone: 916-734-2777
Practice Fax: 916-734-3234

1093799660 — JEFF SCOTT KASTEN N.P.
Practice Location Address:

2316 STOCKTON BLVD
SACRAMENTO, CA
95817-2202

Practice Phone: 916-734-5538
Practice Fax: 916-734-1660

1639127954 — JEFFREY WAJDA DO
Practice Location Address:

2300 STOCKTON BLVD
SACRAMENTO, CA
95817-2202

Practice Phone: 916-734-1166
Practice Fax:

1376819433 — JULIE DORIS JACOBS MD
Practice Location Address:

2300 STOCKTON BLVD STE 1700
SACRAMENTO, CA
95817-2202

Practice Phone: 800-282-3284
Practice Fax:

1003796517 — BRIAN NGUYEN
Practice Location Address:

4301 X ST, SACRAMENTO, CA 95817
SACRAMENTO, CA
95817-2202

Practice Phone: 916-734-2011
Practice Fax:

Directions to “ TIFFANY GLOCKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.