Active NPI
Heather Taylor
- Pharmacist
- Flagler Beach, FL
National Provider Identifier
1457945487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50505
- Practice address
- 2301 Moody Blvd
Flagler Beach, FL 32136-4427 - Phone
- (386) 439-6271
- NPI assigned
- Feb 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS50505 | FL | Primary |
Addresses
Primary practice location
2301 Moody Blvd
Flagler Beach, FL 32136-4427
Mailing address
348 Crescent Key Dr
Saint Augustine, FL 32086-2928
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heather.taylor@cvscaremark.com | Direct | HOLIDAY CVS LLC |
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 |
|---|---|---|---|
| PS50505 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1457945487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 CRESCENT KEY DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320862928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 MOODY BLVD",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321364427",
"telephone_number": "386-439-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-20",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50505",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heather.taylor@cvscaremark.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "HOLIDAY CVS LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2301 Moody Blvd",
"city": "Flagler Beach",
"state": "FL",
"country_code": "US",
"postal_code": "321364427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flagler Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.