Active NPI
Tiffany O'Donnell
- Pharmacist
- Hoschton, GA
National Provider Identifier
1932446945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023076
- Practice address
- 1310 Ashbury Park Dr
Hoschton, GA 30548-3428 - Phone
- (706) 654-5775
- Fax
- (706) 654-9132
- NPI assigned
- Jan 10, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH023076 | GA | Primary |
Addresses
Primary practice location
1310 Ashbury Park Dr
Hoschton, GA 30548-3428
Mailing address
1310 Ashbury Park Dr
Hoschton, GA 30548-3428
Phone (706) 654-5775
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 |
|---|---|---|---|
| RPH023076 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1932446945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 ASHBURY PARK DR",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305483428",
"telephone_number": "706-654-5775",
"fax_number": "706-654-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 ASHBURY PARK DR",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305483428",
"telephone_number": "706-654-5775",
"fax_number": "706-654-9132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoschton, GA
- North Georgia Spine and Interventional Orthopedics LLC
- Northeast Georgia Hearing Aid Center LLC
- Northeast Georgia Orthopaedics & Sports Medicine, LLC
- Northeast Georgia Physicians Group, Inc.
- Northeast Georgia Psychological Services LLC
- Kasie Oliver
- Our Best Healthcare Services LLC
- Ovram Inc.
- Chadwick Marshall Palmer, M.D.
- Parkmium LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.