Active NPI
Tiara M. Perry
- Pharmacy Technician
- N Charleston, SC
National Provider Identifier
1225672017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30029254
- Practice address
- 1506 E Montague Ave
N Charleston, SC 29405-5301 - Phone
- (843) 554-8867
- NPI assigned
- Nov 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30029 | SC | |
| Pharmacy Technician | 183700000X | 30029254 | SC | Primary |
Addresses
Primary practice location
1506 E Montague Ave
N Charleston, SC 29405-5301
Mailing address
1506 E Montague Ave
North Charleston, SC 29405-5301
Phone (843) 554-8867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30029254 | Other | SC | CERTIFIED PHARMACY TECHNICIAN (CPHT) |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RXConnect | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 30029254 | SC | MD | Pharmacy Technician |
| 30029 | SC | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1225672017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 E MONTAGUE AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294055301",
"telephone_number": "843-554-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 E MONTAGUE AVE",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294055301",
"telephone_number": "843-554-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "TIARA",
"middle_name": "M.",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "30029",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "30029254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PHARMACY TECHNICIAN (CPHT)",
"identifier": "30029254",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RXConnect",
"affiliation": "N",
"endpointDescription": "Program used by CVS Health",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1506 E Montague Ave",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294055301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.