Active NPI
Tiffany Theara Long
- Pharmacist
- East Point, GA
National Provider Identifier
1467333658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH035805
- Practice address
- 3660 Marketplace Blvd
East Point, GA 30344-5738 - Phone
- (404) 642-3248
- NPI assigned
- Sep 12, 2025
- 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 | RPH035805 | GA | Primary |
Addresses
Primary practice location
3660 Marketplace Blvd
East Point, GA 30344-5738
Mailing address
9413 Deer Crossing Dr
Jonesboro, GA 30236-5194
Phone (404) 642-3248
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 |
|---|---|---|---|
| RPH035805 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1467333658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9413 DEER CROSSING DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302365194",
"telephone_number": "404-642-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 MARKETPLACE BLVD",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303445738",
"telephone_number": "404-642-3248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "TIFFANY",
"middle_name": "THEARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-12",
"last_updated": "2025-09-12",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH035805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.