Brandon Scott Taylor

Primary specialty

PharmacistTaxonomy code 183500000X

License

2017030957 Issued in MO

Practice address

74 Grandview Plaza Shopping Ctr
Florissant, MO 63033-6105

Phone

(314) 838-1366

NPI assigned

Jul 19, 2018

Last updated

Dec 31, 2019By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1245716570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUNLAP COVE DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252488",
            "telephone_number": "309-256-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 GRANDVIEW PLAZA SHOPPING CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336105",
            "telephone_number": "314-838-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017030957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Michelle Tate
• Sky'Lar Tate
• Brett Tatko, PT
• Patricia Lee Tavares, PHARMD
• Annabelle Taylor, LPTA, CFO
• Chelsea Michelle Taylor, MSW
• Courtney Taylor
• Harold Lamont Taylor
• Lamont Taylor
• Sheri Taylor

• Pharmacist in Florissant, MO
• Providers in Florissant, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.