Tiffany Spudich, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2004009350 Issued in MO

Practice address

212 Millwell Dr
Suite a
Maryland Heights, MO 63043-2512

Phone

(314) 727-8787

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1154524387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MILLWELL DR",
            "address_2": "SUITE A",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432512",
            "telephone_number": "314-727-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MILLWELL DR",
            "address_2": "SUITE A",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432512",
            "telephone_number": "314-727-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPUDICH",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2004009350",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51290447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351039805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Smith, RN
• Eric Snyder, D.D.S.
• Ryan Bradley Sondergard, D.O.
• Karen Michelle Spengel, LPC
• Spinal Care Concepts, P.C.
• SSM Depaul Medical Group, Inc.
• SSM Medical Group Inc.
• St. Luke'S Family Medicine - Maryland Heights LLC
• Stafford Foundation
• Bic Stafford, DPM

• Pharmacist in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.