Active NPI
Taylor Logan
- Pharmacist
- Charlotte, NC
National Provider Identifier
1306459524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29712
- Practice address
- 6110 The PLZ
Charlotte, NC 28215-2402 - Phone
- (704) 532-4186
- NPI assigned
- Aug 27, 2020
- Sex
- Female
- 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 | 29712 | NC | Primary |
Addresses
Primary practice location
6110 The PLZ
Charlotte, NC 28215-2402
Mailing address
6110 The PLZ
Charlotte, NC 28215-2402
Phone (704) 532-4186
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rx07407@cvshealth.com | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29712 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1306459524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 THE PLZ",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152402",
"telephone_number": "704-532-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 THE PLZ",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152402",
"telephone_number": "704-532-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-27",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29712",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rx07407@cvshealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"address_1": "6110 The Plz",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282152402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.