Active NPI
Tiffany Dryden
- Pharmacist
- Atlanta, GA
National Provider Identifier
1164081139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028357
- Practice address
- 1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816 - Phone
- (404) 733-6800
- Fax
- (404) 733-6880
- NPI assigned
- Jun 12, 2019
- Last updated
- Jun 12, 2019
- 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 | RPH028357 | GA | Primary |
Addresses
Primary practice location
1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816
Mailing address
60 11TH St NE Apt 1002
Atlanta, GA 30309-4367
Phone (614) 946-0694
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 |
|---|---|---|---|
| RPH028357 | 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": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1164081139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 11TH ST NE APT 1002",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094367",
"telephone_number": "614-946-0694",
"fax_number": "404-733-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 PIEDMONT AVE NE STE 100A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244816",
"telephone_number": "404-733-6800",
"fax_number": "404-733-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRYDEN",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.