Constance Joyce Taylor, CONNIE TAYLOR

Primary specialty

PharmacistTaxonomy code 183500000X

License

P3701 Issued in ID

Practice address

43 W Prairie Shopping Ctr
Hayden, ID 83835-9854

Phone

(208) 772-5543

Fax

(208) 772-7176

NPI assigned

May 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Connie Joyce Taylor Other name

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1366735870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 W FAIRWAY DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158020",
            "telephone_number": "208-765-5323",
            "fax_number": "208-772-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W PRAIRIE SHOPPING CTR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359854",
            "telephone_number": "208-772-5543",
            "fax_number": "208-772-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CONSTANCE",
        "middle_name": "JOYCE",
        "credential": "CONNIE TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P3701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00009309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "TAYLOR",
            "middle_name": "JOYCE",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Hayden, ID
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.