Individual provider Active NPI

Tiffany Jane Au, PHARMD, RPH

  • Pharmacist
  • Trenton, NJ
National Provider Identifier
1275090516
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03980300 Issued in NJ
Practice address
521 S Broad St
Trenton, NJ 08611-1819
Phone
(609) 858-7560
NPI assigned
Feb 22, 2019
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03980300 NJ Primary

Addresses

Primary practice location

521 S Broad St
Trenton, NJ 08611-1819

Mailing address

4 Marblehead Dr
Princeton Junction, NJ 08550-2111
Phone (609) 721-2811

Other practice location 1

416 Sicklerville Rd Unit C1
Sicklerville, NJ 08081-2556
Phone (856) 566-1100 ext. 85656

Other identifiers 1

IdentifierTypeStateIssuer
28RI03980300OtherNJPHARMACIST LICENSE

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
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI03980300NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1275090516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARBLEHEAD DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502111",
            "telephone_number": "609-721-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086111819",
            "telephone_number": "609-858-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Sicklerville Rd Unit C1",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080812556",
            "country_code": "US",
            "telephone_number": "856-566-1100 x85656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AU",
        "first_name": "TIFFANY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03980300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "28RI03980300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.