Active NPI
Paul G. Taylor, R.PH., CFTS
- Pharmacist
- Sherrills Ford, NC
National Provider Identifier
1548419013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795412 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09264 | NC | MD | Pharmacist |
| CFTS0708 | NC | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mail Order Pharmacy
- Sherrills Ford, NC
- NPI 1093829079
Durable Medical Equipment & Medical Supplies
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.