Active NPI
Iner Daram Taylor, PHARM. D.
- Pharmacist
- Lake Worth, FL
National Provider Identifier
1285266387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52138
- Practice address
- 6177 S Jog Rd
Lake Worth, FL 33467-6580 - Phone
- (561) 964-0607
- NPI assigned
- Feb 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PS52138 | FL | Primary |
Addresses
Primary practice location
6177 S Jog Rd
Lake Worth, FL 33467-6580
Mailing address
5970 Triphammer Rd
Lake Worth, FL 33463-1551
Phone (561) 603-1991
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS52138 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lake Worth, FL
- NPI 1972749521
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1285266387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5970 TRIPHAMMER RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334631551",
"telephone_number": "561-603-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6177 S JOG RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676580",
"telephone_number": "561-964-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "INER",
"middle_name": "DARAM",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.