Individual provider Active NPI

Kevin Allen Taylor, PHARMD

  • Pharmacist
  • Dothan, AL
National Provider Identifier
1457760720
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17650 Issued in AL
Practice address
1971 S Brannon Stand Rd
Suite 1
Dothan, AL 36305-7180
Phone
(334) 446-5300
Fax
(334) 446-3122
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS46468 FL
Pharmacist 183500000X 17650 AL Primary

Addresses

Primary practice location

1971 S Brannon Stand Rd
Suite 1
Dothan, AL 36305-7180

Mailing address

1971 S Brannon Stand Rd
Suite 1
Dothan, AL 36305-7180
Phone (334) 446-5300

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17650ALMDPharmacist
PS46468FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Discount Drugs Inc Current Accepting new patients
Brannon Stand Drugs, Inc. Current Accepting new patients
Pharmacy Center South LLC Current Accepting new patients

Locations

1971 S Brannon Stand Rd
Ste 1
Dothan, AL 36305
Phone (334) 446-5300

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1457760720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 S BRANNON STAND RD",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057180",
            "telephone_number": "334-446-5300",
            "fax_number": "334-446-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 S BRANNON STAND RD",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057180",
            "telephone_number": "334-446-5300",
            "fax_number": "334-446-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEVIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46468",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.