Taylor James Paap, PHARMD
Individual provider Active NPI Pharmacist · Grantsburg, WI
NPI 1407365166 · NPPES record last updated Sep 26, 2017
Key facts
- NPI
- 1407365166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18894-40 (WI)
- Practice address
- 122 W Madison Ave
Grantsburg, WI 54840-7022 - Phone
- (715) 463-2525
- Fax
- (715) 463-5343
- NPI assigned
- Sep 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18894-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellicose International Inc. | Past | Accepting new patients | |
| Bellicose International Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18894-40 | WI | Yes |
Addresses
Primary practice location
122 W Madison Ave
Grantsburg, WI 54840-7022
Mailing address
122 W Madison Ave
Grantsburg, WI 54840-7022
Phone (715) 463-2525
Other providers in Grantsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.