Active NPI
Taylor Adcock
- Ambulatory Care Pharmacist
- Jackson, MS
National Provider Identifier
1063196525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- E-100288
- Practice address
- 3975 I 55 N Apt G2
Jackson, MS 39216-3710 - Phone
- (662) 582-2857
- NPI assigned
- Jun 14, 2023
- Last updated
- Jun 14, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | E-100288 | MS | Primary |
Addresses
Primary practice location
3975 I 55 N Apt G2
Jackson, MS 39216-3710
Mailing address
3975 I 55 N Apt G2
Jackson, MS 39216-3710
Phone (662) 582-2857
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 |
|---|---|---|---|
| E-100288 | MS | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1063196525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 I 55 N APT G2",
"city": "JACKSON",
"state": "MS",
"postal_code": "392163710",
"telephone_number": "662-582-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 I 55 N APT G2",
"city": "JACKSON",
"state": "MS",
"postal_code": "392163710",
"telephone_number": "662-582-2857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADCOCK",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MS",
"license": "E-100288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.