Individual provider Active NPI

Tiffeny Degelia, SR. CPHT

  • Pharmacy Technician
  • Macon, GA
National Provider Identifier
1427645449
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PHTC026162 Issued in GA
Practice address
3888 Vineville Ave
Macon, GA 31204-1865
Phone
(478) 471-6744
Fax
(478) 471-9936
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 116300 TX
Pharmacy Technician 183700000X PHTC026162 GA Primary

Addresses

Primary practice location

3888 Vineville Ave
Macon, GA 31204-1865

Mailing address

3888 Vineville Ave
Macon, GA 31204-1865
Phone (478) 471-6744

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

LicenseStateTypeSpecialty
PHTC026162GAMDPharmacy Technician
116300TXMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1427645449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041865",
            "telephone_number": "478-471-6744",
            "fax_number": "478-471-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3888 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041865",
            "telephone_number": "478-471-6744",
            "fax_number": "478-471-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGELIA",
        "first_name": "TIFFENY",
        "credential": "SR. CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "116300",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC026162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.