Active NPI
Charles Allen Tigner
- Pharmacist
- Greenville, GA
National Provider Identifier
1609911262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH017676
- Practice address
- 121 South Court Square
Greenville, GA 30222 - Phone
- (706) 672-4221
- Fax
- (706) 672-0586
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH017676 | GA | Primary |
Addresses
Primary practice location
121 South Court Square
Greenville, GA 30222
Mailing address
P.O. Box 69
121 South Court Square
Greenville, GA 30222
Phone (706) 672-4221
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 |
|---|---|---|---|
| RPH017676 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609911262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 69",
"address_2": "121 SOUTH COURT SQUARE",
"city": "GREENVILLE",
"state": "GA",
"postal_code": "30222",
"telephone_number": "706-672-4221",
"fax_number": "706-672-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SOUTH COURT SQUARE",
"city": "GREENVILLE",
"state": "GA",
"postal_code": "30222",
"telephone_number": "706-672-4221",
"fax_number": "706-672-0586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGNER",
"first_name": "CHARLES",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH017676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, GA
Sources for this page
- 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.