Tiffany Bolden

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS46839 Issued in FL

Practice address

9041 Southside Blvd
Jacksonville, FL 32256-5484

Phone

(904) 519-2845

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Bolden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1619306834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LARKIN PL",
            "address_2": "UNIT 103",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596988",
            "telephone_number": "504-236-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 SOUTHSIDE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565484",
            "telephone_number": "904-519-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BOLDEN",
            "credential": "PHARM D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bold City Doula Coalition
• Bold City Integrative Care
• Bold City Orthotics and Prosthetics, LLC
• Bold City Therapy and Wellness LLC
• Bold Healthcare PLLC
• Irina Eugenievna Boldt, M.D.
• Paul R Boldt, D.M.D.
• Lucy Bolerjack, DO
• Kathryn Susanne Boles, D.O.
• Rachel Amanda Bolger, PT, DPT

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.