Individual provider Active NPI

Jeffrey Scott Taylor, PHARM.D.

  • Pharmacist
  • Glade Spring, VA
National Provider Identifier
1528792108
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202206574 Issued in VA
Practice address
33472 Lee Hwy
Glade Spring, VA 24340-5100
Phone
(276) 429-2004
Fax
(276) 429-2009
NPI assigned
Jul 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202206574 VA Primary

Addresses

Primary practice location

33472 Lee Hwy
Glade Spring, VA 24340-5100

Mailing address

33472 Lee Hwy
Glade Spring, VA 24340-5100
Phone (276) 429-2004

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
0202206574VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Glade Pharmacy LLC Pharmacist Current Accepting new patients
Glade LTC, LLC Community/Retail Pharmacy Current Accepting new patients
Glade Pharmacy LLC Pharmacist Current Accepting new patients

Locations

33472 Lee Hwy
Glade Spring, VA 24340
Phone (276) 429-2004

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1528792108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33472 LEE HWY",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405100",
            "telephone_number": "276-429-2004",
            "fax_number": "276-429-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33472 LEE HWY",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405100",
            "telephone_number": "276-429-2004",
            "fax_number": "276-429-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glade Spring, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.