Taylor Grove
Individual provider Active NPI Pharmacist · Danville, IL
NPI 1003772203 · NPPES record last updated Dec 31, 2025
Key facts
- NPI
- 1003772203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHA-PHA-LIC-108156 (MT)
- Practice address
- 1900 E Main St
Danville, IL 61832-5100 - Phone
- (217) 554-4747
- NPI assigned
- Dec 31, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-PHA-LIC-108156 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-108156 | MT | Yes |
Addresses
Primary practice location
1900 E Main St
Danville, IL 61832-5100
Mailing address
1900 E Main St
Danville, IL 61832-5100
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.