Target

Primary specialty

PharmacistTaxonomy code 183500000X

License

23265 Issued in NC

Legal business name

TARGET

Practice address

1212 Bridford Pkwy
Greensboro, NC 27407-2645

Phone

(336) 856-1298

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Shea Manigo

Title

District Manager

Phone

(843) 425-5751

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1194165910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BRIDFORD PKWY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BRIDFORD PKWY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072645",
            "telephone_number": "336-856-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "MANIGO",
        "authorized_official_first_name": "SHEA",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "843-425-5751"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Elizabeth Tanner, PA-C
• Michael C. Tanner, M.D.
• Kumjohn Tanvishut, DDS
• Jorge Luis Tapia Cedeno, PA-C
• Leisa Tapia, PA-C
• Tariq Jah, DDS, PLLC
• Ricquita Cheresa Tarpley-Carter, LCSWA
• Tanya Tarpley
• David E. Tart, MD
• Megan Tarver, LPCA

• Pharmacist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.