Individual provider Active NPI

Eumika Q Spaulding-Tillman, PHARMD

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1063133213
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31671 Issued in NC
Practice address
8538 N Tryon St
Charlotte, NC 28262-3421
Phone
(980) 406-8022
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31671 NC Primary

Addresses

Primary practice location

8538 N Tryon St
Charlotte, NC 28262-3421

Mailing address

13811 Haven Ridge LN Unit 102
Charlotte, NC 28215-7847
Phone (980) 406-8022

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
31671NCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1063133213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 HAVEN RIDGE LN UNIT 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157847",
            "telephone_number": "980-406-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8538 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623421",
            "telephone_number": "980-406-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING-TILLMAN",
        "first_name": "EUMIKA",
        "middle_name": "Q",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.