DR. TIFFANY L WRAY (NPI# 1871872036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871872036 |
Entity Type | Individual |
Full Name | DR. TIFFANY L WRAY |
Credential | PHARMD |
Practice Address |
750 Townpark Ln Nw Kennesaw GA 30144-5579 |
Practice Telephone | 7705145541 |
Mailing Telephone | 7705145541 |
Enumeration Date | 2011-08-05 |
Last Update Date | 2011-08-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH023582 | GA | Pharmacy Service Providers |
Street Address |
750 TOWNPARK LN NW |
City | KENNESAW |
State | GA |
Zip Code | 30144-5579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383691 | Rae A King | Ophthalmology | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2005-08-11 |
1861979460 | Allison M Christopher | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2018-07-26 |
1831676535 | Justin Liane Williams | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-07-25 |
1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
1821471152 | Gretchen Earwood | Dietitian, Registered | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2015-07-06 |
1023403607 | Kimberly Dao-king | Pediatrics | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2015-04-01 |
1467708453 | Cui Yang | Internal Medicine | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-07-27 |
1417214925 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-04-20 |
1700152378 | Sanjeev Rally | Psychiatry & Neurology | 750 Townpark Ln Nw, Behavioral Health, Kennesaw, GA 30144-5579 | 2012-03-28 |
1265707244 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
Find all providers in zip 30144 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871101741 | Nikesh Patel | Pharmacist | 114 Gentle Breeze Ct, Temple, GA 30179-5432 | 2020-07-16 |
1023460615 | Sy Le | Pharmacist | 891 Channel Dr, Lawrenceville, GA 30046-8480 | 2016-07-06 |
1619350287 | Erskine Cartwright IIi | Pharmacist | 1205 Hwy 88, Keysville, GA 30816 | 2015-07-01 |
1871907279 | Mohamed Nesredin Ahmedin | Pharmacist | 2718 Woodcrest Dr Apt H, Augusta, GA 30909-0431 | 2014-06-13 |
1710302153 | Elizabeth Estelle Corwell Miller | Pharmacist | 1900 Jacolyn Pl Ne, Atlanta, GA 30329-3316 | 2014-02-21 |
1669736286 | Bharti Singh | Pharmacist | 2100 Comer Ave, 1800 Building, Ambulatory Care Pharmacy, Columbus, GA 31904 | 2012-06-28 |
1730442005 | Laura Susan Cain | Pharmacist | 2030 40th St, Columbus, GA 31904-7308 | 2012-06-20 |
1427327964 | Thu H Nguyen IIi | Pharmacist | 2271 Norbury Dr Se, Smyrna, GA 30080-5205 | 2011-12-28 |
1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
1629365887 | Claude Emerson Hartsock | Pharmacist | 540 Brnach Drive, Pendergrass, GA 30567-3445 | 2011-07-07 |
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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.