Active NPI
Robert E Taylor, PHARMACIST
- Pharmacist
- Honaker, VA
National Provider Identifier
1457679060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202004501
- Practice address
- 5300 Redbud Hwy
Honaker, VA 24260 - Phone
- (276) 873-6132
- Fax
- (276) 873-4614
- NPI assigned
- May 6, 2010
- Last updated
- May 6, 2010
- Sex
- Male
- 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 | 0202004501 | VA | Primary |
Addresses
Primary practice location
5300 Redbud Hwy
Honaker, VA 24260
Mailing address
PO Box 742
Honaker, VA 24260-0742
Phone (276) 873-6132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008513431 | Medicaid | VA |
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 |
|---|---|---|---|
| 0202004501 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richlands Pharmacy Associates Inc | Past | Accepting new patients | |
| Richlands Pharmacy Associates Inc | 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 Richlands Pharmacy
- Community/Retail Pharmacy
- Richlands, VA
- NPI 1598757189
-
dba New Garden Pharmacy
- Community/Retail Pharmacy
- Honaker, VA
- NPI 1770682635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1457679060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742",
"city": "HONAKER",
"state": "VA",
"postal_code": "242600742",
"telephone_number": "276-873-6132",
"fax_number": "276-873-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 REDBUD HWY",
"city": "HONAKER",
"state": "VA",
"postal_code": "24260",
"telephone_number": "276-873-6132",
"fax_number": "276-873-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008513431",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honaker, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.