Active NPI
Carmen Kay Taylor, RPH
- Pharmacist
- Louisville, KY
National Provider Identifier
1376173575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010659
- Practice address
- 2219 Holiday Manor Ctr
Louisville, KY 40222-6463 - Phone
- (502) 394-9483
- Fax
- (502) 426-0281
- NPI assigned
- Jan 16, 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 | 010659 | KY | Primary |
Addresses
Primary practice location
2219 Holiday Manor Ctr
Louisville, KY 40222-6463
Mailing address
10411 W Highway 42
Goshen, KY 40026-9750
Phone (502) 432-2622
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carmen.taylor@stores.kroger.com | Kroger Limited Partnership I |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010659 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1376173575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 W HIGHWAY 42",
"city": "GOSHEN",
"state": "KY",
"postal_code": "400269750",
"telephone_number": "502-432-2622",
"fax_number": "502-426-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 HOLIDAY MANOR CTR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402226463",
"telephone_number": "502-394-9483",
"fax_number": "502-426-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CARMEN",
"middle_name": "KAY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2023-11-27",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010659",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carmen.taylor@stores.kroger.com",
"affiliation": "Y",
"endpointDescription": "my personal Kroger employee email",
"affiliationName": "Kroger Limited Partnership I",
"address_1": "2219 Holiday Manor Ctr",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402226463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.