Active NPI
Annette M Taylor, PHAMD
- Pharmacist
- Waynesburg, PA
National Provider Identifier
1437759974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439757
- Practice address
- 405 Murtha Dr
Waynesburg, PA 15370-7010 - Phone
- (724) 627-3546
- Fax
- (724) 627-3554
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024703 | AZ | |
| Pharmacist | 183500000X | 049316 | NY | |
| Pharmacist | 183500000X | RP439757 | PA | Primary |
Addresses
Primary practice location
405 Murtha Dr
Waynesburg, PA 15370-7010
Mailing address
405 Murtha Dr
Waynesburg, PA 15370-7010
Phone (724) 627-3546
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 |
|---|---|---|---|
| S024703 | AZ | MD | Pharmacist |
| RP439757 | PA | MD | Pharmacist |
| 049316 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Wal-Mart Pharmacy 10-5446
- Community/Retail Pharmacy
- Waynesburg, PA
- NPI 1912145103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1437759974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MURTHA DR",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153707010",
"telephone_number": "724-627-3546",
"fax_number": "724-627-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MURTHA DR",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153707010",
"telephone_number": "724-627-3546",
"fax_number": "724-627-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ANNETTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHAMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024703",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049316",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
- Christopher Ryan Stewart, PHD, LP, LPC, NCC
- Jeff Stover
- Sylva Medical Practice, PLLC
- T.G.C.H. Inc. (Washington Health System Greene)
- T.G.C.H. Inc. (Washington Health System Greene Home Care)
- Vonnie Marie Teagarden, LCSW
- Michael Tharp, DPT
- The Care Center (SPHS Care Center)
- The Orthopedic Group
- The Rehab Center (NovaCare Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.