Christian Kevin Tayag, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024855 Issued in AZ

Practice address

1654 N Pebble Creek Pkwy
Goodyear, AZ 85395-2571

Phone

(623) 207-6808

NPI assigned

Dec 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Goodyear, AZ
  • NPI 1215265145
  NPD

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

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608854400000",
    "number": "1164019055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 W ASPERA BLVD APT 2033",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087925",
            "telephone_number": "714-768-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 N PEBBLE CREEK PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952571",
            "telephone_number": "623-207-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYAG",
        "first_name": "CHRISTIAN",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-25",
        "last_updated": "2020-12-25",
        "certification_date": "2020-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Talley, DPT
• Craig M Tambatamba, PA-C
• Yu Tung Tan
• Pierrette Marie Ange Tantchou Dsamou, M.D.
• Dennis Tatu, FNP-BC
• Cynthia Kim Taylor, LPN
• Dolores Taylor
• Katie L Taylor, OTR/L
• Lindsay Taylor, MD
• Teamnp PLLC

• Pharmacist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; 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.