Active NPI
Matthew Tyrel Taylor, PHARMACIST
- Pharmacist
- Casa Grande, AZ
National Provider Identifier
1053720060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020747
- Practice address
- 2021 N Pinal Ave
Casa Grande, AZ 85122-1417 - Phone
- (520) 876-0265
- Fax
- (520) 876-0532
- NPI assigned
- Aug 5, 2014
- Last updated
- Aug 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020747 | AZ | Primary |
Addresses
Primary practice location
2021 N Pinal Ave
Casa Grande, AZ 85122-1417
Mailing address
2021 N Pinal Ave
Casa Grande, AZ 85122-1417
Phone (520) 876-0265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S020747 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1053720060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N PINAL AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851221417",
"telephone_number": "520-876-0265",
"fax_number": "520-876-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N PINAL AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851221417",
"telephone_number": "520-876-0265",
"fax_number": "520-876-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MATTHEW",
"middle_name": "TYREL",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
- Paul Jorge Tavares, D.C.
- Ashia Deshund Taylor, M.S./BHT
- Clifton Ray Taylor Jr.
- Marcie Lynn Taylor
- Mariah Taylor, RDH AP
- Michael Travis Taylor, PHARM D.
- TCP Anesthesia Services PLLC
- Terry Lee Tegeler
- Telerad Account Management of Arizona LLC
- Tenacity Integrated Behavioral Healthcare, PLLC (Tenacity Integrated Behavioral Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.