Tiffany Denise Gerald, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42760 Issued in SC

Practice address

707 Church St
Conway, SC 29526-4824

Phone

(843) 248-6302

NPI assigned

Nov 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1093319956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 ROAD 30",
            "city": "LAKE VIEW",
            "state": "SC",
            "postal_code": "295635215",
            "telephone_number": "267-382-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264824",
            "telephone_number": "843-248-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERALD",
        "first_name": "TIFFANY",
        "middle_name": "DENISE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PH42760",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "707 Church St",
            "city": "Conway",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295264824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latoya Bernice Gathers, ED.D
• Robert J Gay, M.D.
• John Christopher Gayton, MD
• Kaniya Geathers
• Michelle Gelfand, MS RD
• Amanda Gerrald
• Ashley Morgan Keating Gibbs, FNP-BC
• Warren Douglas Gibson
• Alyssa Gideon, RN
• Hannah Elizabeth Gier

• Pharmacist in Conway, SC
• Providers in Conway, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.