Individual provider Active NPI

Tawnee D Taylor, PHARM. D

  • Pharmacist
  • Wilburton, OK
National Provider Identifier
1578116208
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14962 Issued in OK
Practice address
621 Highway 2 N
Wilburton, OK 74578-3620
Phone
(918) 465-0111
Fax
(918) 465-0015
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14962 OK Primary

Addresses

Primary practice location

621 Highway 2 N
Wilburton, OK 74578-3620

Mailing address

621 Highway 2 N
Wilburton, OK 74578-3620
Phone (918) 465-0111

Other identifiers 1

IdentifierTypeStateIssuer
14962OtherOKOKLAHOMA STATE BOARD OF PHARMACY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 0736373088 Health Information Exchange (HIE)

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
14962OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Roys Discount Pharmacy LLC CurrentSince Jun 2, 2024 Accepting new patients
Roys Discount Pharmacy LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

621 Highway 2 N
Wilburton, OK 74578
Phone (918) 465-0111

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1578116208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HIGHWAY 2 N",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745783620",
            "telephone_number": "918-465-0111",
            "fax_number": "918-465-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HIGHWAY 2 N",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745783620",
            "telephone_number": "918-465-0111",
            "fax_number": "918-465-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAWNEE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF PHARMACY LICENSE",
            "identifier": "14962",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "0736373088",
            "affiliation": "N",
            "endpointDescription": "Surescripts",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "621 Highway 2 N",
            "city": "Wilburton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745783620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilburton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.