Taylor C Anglemyer, PHARMD
Individual provider Active NPI Pharmacist · Jefferson, IA
NPI 1447809587 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1447809587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22443 (IA)
- Practice address
- 400 N Elm St
Jefferson, IA 50129-1420 - Phone
- (402) 216-8519
- Fax
- (515) 386-8521
- NPI assigned
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 22443 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22443 | IA | Yes |
Addresses
Primary practice location
400 N Elm St
Jefferson, IA 50129-1420
Mailing address
400 N Elm St
Jefferson, IA 50129-1420
Phone (402) 216-8519
Other providers in Jefferson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. 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.