Taylor Farmer, PHARM.D
Individual provider Active NPI Pharmacist · Dowagiac, MI
NPI 1174097091 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1174097091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302412909 (MI)
- Practice address
- 56151 M 51 S
Dowagiac, MI 49047-9762 - Phone
- (269) 782-4511
- NPI assigned
- Jan 14, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412909 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302412909 | MI | Yes |
Addresses
Primary practice location
56151 M 51 S
Dowagiac, MI 49047-9762
Mailing address
56151 M 51 S
Dowagiac, MI 49047-9762
Phone (269) 782-4511
Other providers in Dowagiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.