Active NPI
Jeremy D Taylor, PHARM.D.
- Pharmacist
- Bothell, WA
National Provider Identifier
1609160399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46366
- Practice address
- 11913 NE 195TH St
Bothell, WA 98011-3147 - Phone
- (425) 489-3100
- NPI assigned
- May 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46366 | LA | Primary |
Addresses
Primary practice location
11913 NE 195TH St
Bothell, WA 98011-3147
Mailing address
2280 Ibsen Ave
Cottage Grove, OR 97424-1902
Phone (541) 520-6056
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 |
|---|---|---|---|
| 46366 | LA | MD | Pharmacist |
Interoperability endpoints
- jtaylor75260@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1609160399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 IBSEN AVE",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974241902",
"telephone_number": "541-520-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11913 NE 195TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113147",
"telephone_number": "425-489-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JEREMY",
"middle_name": "D",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "46366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.