Provider Demographics
NPI:1356067060
Name:VERE, TIFFANY ASHLEY (RPH)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ASHLEY
Last Name:VERE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:ASHLEY
Other - Last Name:JEANITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1672 COVENTRY RD APT 1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1106
Mailing Address - Country:US
Mailing Address - Phone:786-245-9015
Mailing Address - Fax:
Practice Address - Street 1:8519 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2625
Practice Address - Country:US
Practice Address - Phone:440-729-9070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03443236183500000X
OH03442426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist