Active NPI
Lauren Elizabeth Taylor
- Pharmacist
- Acworth, GA
National Provider Identifier
1154607182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH026208
- Practice address
- 6090 Lake Acworth Dr NW
Acworth, GA 30101-5010 - Phone
- (770) 966-1230
- NPI assigned
- Oct 21, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH026208 | GA | Primary |
Addresses
Primary practice location
6090 Lake Acworth Dr NW
Acworth, GA 30101-5010
Mailing address
6090 Lake Acworth Dr NW
Acworth, GA 30101-5010
Phone (770) 966-1230
Other practice location 1
701 Martha Berry Blvd NW
Rome, GA 30165-1637
Phone (706) 295-7787
Other names 1
- Kesh Elizabeth Conklin
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 |
|---|---|---|---|
| RPH026208 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6090 Lake Acworth Dr NW
Acworth, GA 30101
Phone (770) 966-1230
Organizations & group practices 3
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.
-
- Pharmacy
- Acworth, GA
- NPI 1235146218
-
- Pharmacy
- Rome, GA
- NPI 1417962523
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1154607182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6090 LAKE ACWORTH DR NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015010",
"telephone_number": "770-966-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6090 LAKE ACWORTH DR NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015010",
"telephone_number": "770-966-1230"
}
],
"practiceLocations": [
{
"address_1": "701 Martha Berry Blvd NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301651637",
"country_code": "US",
"telephone_number": "706-295-7787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KESH",
"last_name": "CONKLIN",
"middle_name": "ELIZABETH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.