Tainashia Phillips, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

028797 Issued in GA

Practice address

869 Horizon South Pkwy
Grovetown, GA 30813-3025

Phone

(706) 651-0306

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia CVS Pharmacy L.L.C

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)
• Georgia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Grovetown, GA
  • NPI 1477656247
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1194449181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 LAKEWOOD DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308131250",
            "telephone_number": "520-226-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 HORIZON SOUTH PKWY",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133025",
            "telephone_number": "706-651-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TAINASHIA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "028797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "869 Horizon South Pkwy",
            "city": "Grovetown",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308133025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "869 Horizon South Pkwy",
            "city": "Grovetown",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308133025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rx04589@cvshealth.com",
            "affiliation": "N",
            "address_1": "869 Horizon South Pkwy",
            "city": "Grovetown",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308133025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peacceful at Home LLC
• Yashate Kinkia Pendergrass, RN
• Oscar G Pete
• Randall Erik Peterson, M.D.
• Phung Kim Phan
• Hari Prabhakar, MD
• Charmella Prince
• Luciana Prophet, PMHNP-C
• Brita S Reed, MD, PSYD
• Millie Reeves, PA-C

• Pharmacist in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.