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TIFFANY JADE HARRIS FRASER PHARMD
NPI 1073124863
Pharmacist in Starke, FL

Active since August 14, 2020
14500 US HIGHWAY 301 S, STARKE, FL 32091(904) 964-3290 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2022, Dec 6, 2021, Aug 14, 2020 (3 updates tracked since 2020).

About Tiffany Jade Harris Fraser Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY JADE HARRIS FRASER PHARMD (NPI 1073124863) is an individual pharmacist in Starke, Florida, licensed in Florida (PS57850) and active in the NPI registry since August 2020. She maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1073124863
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTIFFANY JADE HARRIS FRASERCredential: PHARMD
Location Address14500 US HIGHWAY 301 SStarke, FL 32091-7858
Mailing Address719 S Sr 19Palatka, FL 32177 · (386) 328-6787
Phone(904) 964-3290
Sole ProprietorNo
Enumeration DateAugust 14, 2020
Last NPPES UpdateDecember 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1073124863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS57850
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
14500 US HIGHWAY 301 S, Starke, FL 32091
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Secondary Practice Location 1

Location 11565 County Road 220Orange Park, FL 32003-7945 · Phone (904) 269-8142

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW DOUGLAS PHARMD
Pharmacist
14500 US HIGHWAY 301 S
STARKE, FL 32091
Bradford County (904) 964-3290
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
14500 US HIGHWAY 301 S
STARKE, FL 32091
Bradford County (904) 964-3290
MARILYN MARIE WILSON
Technician/Technologist (Optician)
14500 US HIGHWAY 301 S
STARKE, FL 32091
Bradford County (904) 964-2250
WAL-MART STORES EAST, LP
Eyewear Supplier
14500 US HIGHWAY 301 S
STARKE, FL 32091
Bradford County (904) 964-3286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Fraser's NPI number?

The NPI number for Tiffany Fraser is 1073124863. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Tiffany Fraser located?

Tiffany Fraser practices at 14500 Us Highway 301 S, Starke, FL 32091. The listed phone number is (904) 964-3290.

What is Tiffany Fraser's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Tiffany Fraser was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.