Active NPI
Tawnee D Taylor, PHARM. D
- Pharmacist
- Wilburton, OK
National Provider Identifier
1578116208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14962
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14962 | Other | OK | OKLAHOMA STATE BOARD OF PHARMACY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14962 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roys Discount Pharmacy LLC | Current | Accepting new patients | |
| Roys Discount Pharmacy LLC | Current | 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.
-
- Community/Retail Pharmacy
- Wilburton, OK
- NPI 1457440141
-
- Long Term Care Pharmacy
- Wilburton, OK
- NPI 1801600648
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.