TIFFANY UDOKA UZOR (NPI# 1407454002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407454002 |
| Entity Type | Individual |
| Full Name | TIFFANY UDOKA UZOR |
| Practice Address |
134 Banks Xing Fayetteville GA 30214-7308 |
| Mailing Address |
136 Adair St Decatur GA 30030-2937 |
| Practice Telephone | 7704012312 |
| Mailing Telephone | 7704012312 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH032352 | GA | Pharmacy Service Providers |
| Street Address |
134 BANKS XING |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023033701 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 134 Banks Xing, Fayetteville, GA 30214-7308 | 2006-07-13 |
| 1780218396 | Kevin Alexander Eason | Pharmacist | 134 Banks Xing, Fayetteville, GA 30214-7308 | 2020-02-24 |
| 1790317493 | Yancy Max Witt | Pharmacist | 134 Banks Xing, Fayetteville, GA 30214-7308 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
| 1669072492 | Linda Xiong | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-30 |
| 1861092082 | Teresa Wells | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-27 |
| 1801495874 | Chase Benson Bishop | Pharmacist | 805 Glynn St S, Fayetteville, GA 30214-2000 | 2020-10-21 |
| 1295341741 | Lindsey Christine Judy | Pharmacist | 72 Whitewater Ave, Fayetteville, WV 25840-9648 | 2020-09-21 |
| 1780218396 | Kevin Alexander Eason | Pharmacist | 134 Banks Xing, Fayetteville, GA 30214-7308 | 2020-02-24 |
| 1790317493 | Yancy Max Witt | Pharmacist | 134 Banks Xing, Fayetteville, GA 30214-7308 | 2020-02-10 |
| 1104471432 | Katie Dircksen | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2019-08-05 |
| 1558915801 | Meghan Elizabeth Mark | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2019-07-25 |
| 1619490679 | Erika Rae Mcclain | Pharmacist | 1307 Avon St, Fayetteville, NC 28304-4423 | 2017-07-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on TIFFANY UDOKA UZOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.