Individual provider Active NPI

Michelle L Thornton-Taylor, RPH

  • Pharmacist
  • Casselberry, FL
National Provider Identifier
1194711812
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS21492 Issued in FL
Practice address
1490 Sunshadow Drive
Ste 3020
Casselberry, FL 32707-9055
Phone
(855) 497-7956
Fax
(855) 497-7957
NPI assigned
Sep 27, 2005
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS21492 FL Primary

Addresses

Primary practice location

1490 Sunshadow Drive
Ste 3020
Casselberry, FL 32707-9055

Mailing address

1490 Sunshadow Drive
Ste 3020
Casselberry, FL 32707-9055
Phone (855) 497-7956

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

LicenseStateTypeSpecialty
PS21492FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlrx, LLC Past Accepting new patients

Organizations & group practices 1

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1194711812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 SUNSHADOW DRIVE",
            "address_2": "STE 3020",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327079055",
            "telephone_number": "855-497-7956",
            "fax_number": "855-497-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 SUNSHADOW DRIVE",
            "address_2": "STE 3020",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327079055",
            "telephone_number": "855-497-7956",
            "fax_number": "855-497-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON-TAYLOR",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS21492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.