Tiffany Kristen White, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202212896 Issued in VA

Practice address

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668

Phone

(434) 654-7051

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Kristen Vandervort Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Zion Crossroads, VA
  • NPI 1225363328
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1316548175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 ASHEVILLE DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113570",
            "telephone_number": "607-341-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Hilton Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229018394",
            "country_code": "US",
            "telephone_number": "434-973-1819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Camp Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Zion Crossroads",
            "state": "VA",
            "postal_code": "229426878",
            "country_code": "US",
            "telephone_number": "540-832-1271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Hilton Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229018393",
            "country_code": "US",
            "telephone_number": "434-978-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIFFANY",
        "middle_name": "KRISTEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "VANDERVORT",
            "middle_name": "KRISTEN",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Ray White, PHD, A/G ACNP-BC
• Leela White, LPC
• Mark Douglas White, MD
• Sheila White
• Shelby C. White, M.D.
• Richard Whitehill, M.D.
• Julia D Whiting, MD
• Hunter Whitlow
• Malinda L Whitlow, FNP
• Andrew Whitman

• Pharmacist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.