Active NPI
Taylor Jordan Massey, PHAMD
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1538934294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73452
- Practice address
- 1115 8TH Ave
Fort Worth, TX 76104-4102 - Phone
- (817) 806-1094
- NPI assigned
- Nov 21, 2023
- Last updated
- Nov 21, 2023
- Sex
- Female
- 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 | 73452 | TX | Primary |
Addresses
Primary practice location
1115 8TH Ave
Fort Worth, TX 76104-4102
Mailing address
1739 Mims Ave SW
Birmingham, AL 35211-4252
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 |
|---|---|---|---|
| 73452 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy, Inc. | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Locations
1115 8th Ave
Fort Worth, TX 76104
Phone (817) 806-1094
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1538934294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 MIMS AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352114252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044102",
"telephone_number": "817-806-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "TAYLOR",
"middle_name": "JORDAN",
"credential": "PHAMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.