Active NPI
Taylor Jean-Guillaume
- Pharmacist
- New Haven, CT
National Provider Identifier
1578223004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0015648
- Practice address
- 428 Columbus Ave
New Haven, CT 06519-1233 - Phone
- (203) 503-3000
- NPI assigned
- Dec 24, 2021
- Last updated
- Dec 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PCT.0015648 | CT | Primary |
Addresses
Primary practice location
428 Columbus Ave
New Haven, CT 06519-1233
Mailing address
740 Mix Ave Unit 414
Hamden, CT 06514-2288
Phone (203) 561-9337
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 |
|---|---|---|---|
| PCT.0015648 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640304000000",
"number": "1578223004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 MIX AVE UNIT 414",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142288",
"telephone_number": "203-561-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 COLUMBUS AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191233",
"telephone_number": "203-503-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-GUILLAUME",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-24",
"last_updated": "2021-12-24",
"certification_date": "2021-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.