Individual provider Active NPI

Paul G. Taylor, R.PH., CFTS

  • Pharmacist
  • Sherrills Ford, NC
National Provider Identifier
1548419013
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09264 Issued in NC
Practice address
6360 E NC 150 Hwy
Taylor Med Pharmacy/General Store
Sherrills Ford, NC 28673-9404
Phone
(704) 483-9150
Fax
(704) 664-1999
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 09264 NC Primary
Durable Medical Equipment & Medical Supplies 332B00000X CFTS0708 NC

Addresses

Primary practice location

6360 E NC 150 Hwy
Taylor Med Pharmacy/General Store
Sherrills Ford, NC 28673-9404

Mailing address

114 Surfside LN
Mooresville, NC 28117-7464
Phone (704) 664-1999

Other identifiers 1

IdentifierTypeStateIssuer
7795412MedicaidNC

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
09264NCMDPharmacist
CFTS0708NCMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Taylor Inc Durable Medical Equipment & Medical Supplies Past Accepting new patients

Organizations & group practices 1

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1548419013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SURFSIDE LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177464",
            "telephone_number": "704-664-1999",
            "fax_number": "704-664-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 E NC 150 HWY",
            "address_2": "TAYLOR MED PHARMACY/GENERAL STORE",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286739404",
            "telephone_number": "704-483-9150",
            "fax_number": "704-664-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PAUL",
        "middle_name": "G.",
        "credential": "R.PH., CFTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "09264",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "CFTS0708",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherrills Ford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.