Active NPI
Richard Robert Taylor, RPH
- Pharmacist
- South Daytona, FL
National Provider Identifier
1184904633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS19286
- Practice address
- 2620 S Nova Rd
South Daytona, FL 32119-6585 - Phone
- (386) 767-9731
- Fax
- (386) 767-9961
- NPI assigned
- Aug 27, 2011
- Sex
- Male
- 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 | PS19286 | FL | Primary |
Addresses
Primary practice location
2620 S Nova Rd
South Daytona, FL 32119-6585
Mailing address
6609 Merryvale LN
Port Orange, FL 32128-4040
Phone (386) 756-9431
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS19286 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1184904633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6609 MERRYVALE LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321284040",
"telephone_number": "386-756-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 S NOVA RD",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321196585",
"telephone_number": "386-767-9731",
"fax_number": "386-767-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RICHARD",
"middle_name": "ROBERT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS19286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.