Bradley Charles Taylor, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302036205 Issued in MI

Practice address

1000 S Burdick St
Kalamazoo, MI 49001-2734

Phone

(269) 388-4850

NPI assigned

Jul 5, 2021

Last updated

Jul 5, 2021By 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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kalamazoo Long Term Care LLC

  dba Kalamazoo Long Term Care

  • Long Term Care Pharmacy
  • Kalamazoo, MI
  • NPI 1912914797
  NPD (past)

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1386215069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012734",
            "telephone_number": "269-388-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012734",
            "telephone_number": "269-388-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRADLEY",
        "middle_name": "CHARLES",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aydin Tavakoli, M.D., MSC, BSC
• Mohammad Yahia Ragheb Tayliakh
• Alexus Taylor-Carter
• Alissa Taylor, NP
• Anita Taylor, RN
• Britney Taylor
• Elena Grace Taylor
• Jacqueline Yvette Taylor, MA, CCC-A
• Jenna Taylor
• Kaitlynn Taylor, RN

• Pharmacist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.