Tiffany Ross, RPH

Individual provider Active NPI Pharmacist · Appomattox, VA

NPI 1124566153 · NPPES record last updated Feb 10, 2017

Key facts

NPI
1124566153
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
0202214244 (VA)
Practice address
7789 Richmond Hwy
Appomattox, VA 24522-8680
Phone
(434) 352-0817
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0202214244VAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202214244 VA Yes

Addresses

Primary practice location

7789 Richmond Hwy
Appomattox, VA 24522-8680

Mailing address

301 Northwynd Cir
Apt 203
Lynchburg, VA 24502-3448
Phone (740) 464-6818

Other providers in Appomattox, VA

All providers in Appomattox, VA · Pharmacist in Virginia

Sources for this page

Verify at the official NPI Registry.