Provider Demographics
NPI:1013001940
Name:PEPE, TIFFANY KATHERINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:KATHERINE
Last Name:PEPE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CARRIAGE CT
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4010
Mailing Address - Country:US
Mailing Address - Phone:585-264-1746
Mailing Address - Fax:
Practice Address - Street 1:800 CARTER ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2604
Practice Address - Country:US
Practice Address - Phone:585-338-4972
Practice Address - Fax:585-336-4848
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020-045395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist