Active NPI
Tiffany Taylor, PHARMD
- Pharmacist
- Goose Creek, SC
National Provider Identifier
1386051969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35652
- Practice address
- 1630 Red Bank Rd
Goose Creek, SC 29445-4588 - Phone
- (843) 553-7876
- Fax
- (843) 553-3545
- NPI assigned
- Jul 16, 2014
- Last updated
- Feb 5, 2023
- 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 | 35652 | SC | Primary |
Addresses
Primary practice location
1630 Red Bank Rd
Goose Creek, SC 29445-4588
Mailing address
3621 Savannah Hwy
Johns Island, SC 29455-7937
Phone (843) 830-3726
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35652 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1630 Red Bank Rd
Goose Creek, SC 29445
Phone (843) 553-7876
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675555200000",
"number": "1386051969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 SAVANNAH HWY",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294557937",
"telephone_number": "843-830-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 RED BANK RD",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294454588",
"telephone_number": "843-553-7876",
"fax_number": "843-553-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2023-02-05",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.