Active NPI
Tiffany Sims
- Pharmacist
- Benson, NC
National Provider Identifier
1316347362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22580
- Practice address
- 13440 NC Highway 210
Benson, NC 27504-7725 - Phone
- (919) 207-3086
- NPI assigned
- Aug 27, 2014
- 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 | 22580 | NC | Primary |
Addresses
Primary practice location
13440 NC Highway 210
Benson, NC 27504-7725
Mailing address
13440 NC Highway 210
Benson, NC 27504-7725
Phone (919) 207-3086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515603 | Medicaid | NC |
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 |
|---|---|---|---|
| 22580 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1316347362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13440 NC HIGHWAY 210",
"city": "BENSON",
"state": "NC",
"postal_code": "275047725",
"telephone_number": "919-207-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13440 NC HIGHWAY 210",
"city": "BENSON",
"state": "NC",
"postal_code": "275047725",
"telephone_number": "919-207-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0515603",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.