ERIKA VANCE TILLERY PHARMD NPI 1487284014

NPI Information

NPI: 1487284014
Provider Name: ERIKA VANCE TILLERY, PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
730 N MAIN ST
CEDARTOWN, GA
ZIP 30125
Phone: (770) 749-5095
Get Directions

Erika Vance Tillery, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Cedartown, GA. The provider is 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. Erika Vance Tillery, PHARMD NPI is 1487284014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

730 N MAIN ST
CEDARTOWN, GA
ZIP 30125-358
Phone: (770) 749-5095
Fax: (770) 749-0228

The enumeration date for this NPI number is 1/23/2020 and was last updated on 1/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH029235	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RPH029235	OTHER	GEORGIA	GEORGIA BOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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