Individual provider Active NPI

Tiffany Sue Quick, PHARMD

  • Pharmacist
  • Peachtree City, GA
National Provider Identifier
1871249425
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH024006 Issued in GA
Practice address
2005 Commerce Dr N
Peachtree City, GA 30269-3538
Phone
(678) 271-3970
NPI assigned
Feb 22, 2022
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH024006 GA Primary

Addresses

Primary practice location

2005 Commerce Dr N
Peachtree City, GA 30269-3538

Mailing address

130 Ivy Trace Blvd
Newnan, GA 30265-2294
Phone (678) 340-1804

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thepharmacyplace.com

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH024006GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Place LLC PastSince Feb 27, 2022 Accepting new patients
Pharmacy Place LLC PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1871249425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 IVY TRACE BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652294",
            "telephone_number": "678-340-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 COMMERCE DR N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "678-271-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "TIFFANY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thepharmacyplace.com",
            "affiliation": "N",
            "address_1": "2005 Commerce Dr N",
            "city": "Peachtree City",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302693538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.