Tiffany Danette Self, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

012747 Issued in KY

Practice address

10316 Long Barn CT
Louisville, KY 40291-4008

Phone

(502) 896-6113

Fax

(502) 448-8283

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568535334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 LONG BARN CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914008",
            "telephone_number": "502-896-6113",
            "fax_number": "502-448-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 LONG BARN CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914008",
            "telephone_number": "502-896-6113",
            "fax_number": "502-448-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "TIFFANY",
        "middle_name": "DANETTE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Rehabilitation
• Bailey Selent
• Audrey Self, LCSW
• Mary T Self, M.D.
• Stephen Bender Self, MD
• William Scott Selhorst, PTA
• Jerry Walter Seligman, MD
• David Seligson, M.D.
• Omar Mourad Hassan Zaki Selim, M.B.B.CH, MSC
• Mitchell Todd Selin, DDS

• Pharmacist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.