Active NPI
Tiffany Lee Gordon, PHARMD
- Psychiatric Pharmacist
- Phoenix, AZ
National Provider Identifier
1922417658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- S020773
- Practice address
- 501 N 24TH St
Phoenix, AZ 85008-6056 - Phone
- (602) 220-6060
- Fax
- (602) 220-6194
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | S020773 | AZ | Primary |
Addresses
Primary practice location
501 N 24TH St
Phoenix, AZ 85008-6056
Mailing address
501 N 24TH St
Phoenix, AZ 85008-6056
Phone (602) 220-6060
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
| License | State | Type | Specialty |
|---|---|---|---|
| S020773 | AZ | MD | Psychiatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Arizona State Dept of Finance | 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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Phoenix, AZ
- NPI 1184731804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1922417658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N 24TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086056",
"telephone_number": "602-220-6060",
"fax_number": "602-220-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 24TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086056",
"telephone_number": "602-220-6060",
"fax_number": "602-220-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "TIFFANY",
"middle_name": "LEE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "AZ",
"license": "S020773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.