Active NPI
Tiata Redfear
- Pharmacist
- Erwin, NC
National Provider Identifier
1659026243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30945
- Practice address
- 80 W Jackson Blvd
Erwin, NC 28339-9633 - Phone
- (910) 892-5140
- NPI assigned
- Feb 13, 2022
- Last updated
- Feb 13, 2022
- 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 | 30945 | NC | Primary |
Addresses
Primary practice location
80 W Jackson Blvd
Erwin, NC 28339-9633
Mailing address
1550 Alabaster Way Apt G
Fayetteville, NC 28314-0896
Phone (336) 300-5220
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644710400000",
"number": "1659026243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 ALABASTER WAY APT G",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140896",
"telephone_number": "336-300-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 W JACKSON BLVD",
"city": "ERWIN",
"state": "NC",
"postal_code": "283399633",
"telephone_number": "910-892-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDFEAR",
"first_name": "TIATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2022-02-13",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.