Individual provider Active NPI

Taylor Diggs Mosteller, PHARMD

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1063986503
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
071685 Issued in NY
Practice address
589 Prospect Ave
Brooklyn, NY 11215-6020
Phone
(347) 955-3029
NPI assigned
Jan 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 071685 NY Primary

Addresses

Primary practice location

589 Prospect Ave
Brooklyn, NY 11215-6020

Mailing address

678 Saint Marks Ave Apt 2F
Brooklyn, NY 11216-3636
Phone (864) 534-3867

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
071685NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 27, 2024 Accepting new patients
Walgreen Co PastSince Oct 27, 2024 Accepting new patients

Locations

589 Prospect Ave
Brooklyn, NY 11215
Phone (347) 955-3029

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1063986503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 SAINT MARKS AVE APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163636",
            "telephone_number": "864-534-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 PROSPECT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156020",
            "telephone_number": "347-955-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLER",
        "first_name": "TAYLOR",
        "middle_name": "DIGGS",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.