Active NPI
Tiffany Luu
- Pharmacist
- Marietta, GA
National Provider Identifier
1023770765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033333
- Practice address
- 23 S Marietta Pkwy SW
Marietta, GA 30064-3288 - Phone
- (404) 841-5605
- NPI assigned
- Oct 11, 2021
- Last updated
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH033333 | GA | Primary |
Addresses
Primary practice location
23 S Marietta Pkwy SW
Marietta, GA 30064-3288
Mailing address
23 S Marietta Pkwy SW
Marietta, GA 30064-3288
Phone (770) 420-8932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033333 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1023770765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 S MARIETTA PKWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643288",
"telephone_number": "770-420-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 S MARIETTA PKWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643288",
"telephone_number": "404-841-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2022-12-21",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- Sherri M Lundquist, P.T.
- Daniel Lundrigan, D.C.
- Tenecia Lanae Luster
- Kelley Lynn Lutz, PHYSICAL THERAPIST
- Theresa D. Luu, M.D.
- Luxottica of America Inc (Target Optical F575)
- Luxottica of America Inc (For Eyes (CM216))
- Luxottica of America Inc. (Target Optical #4762)
- Luxottica of America Inc. (Lenscrafters #1668)
- Luxottica of America Inc. (LensCrafters #1091)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.