Jessie Faye Taylor, PHARMD
Individual provider Active NPI Pharmacist · Evanston, WY
NPI 1659899508 · NPPES record last updated Aug 30, 2017
Key facts
- NPI
- 1659899508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3993 (WY)
- Practice address
- 70 Yellow Creek Rd
Evanston, WY 82930-5227 - Phone
- (307) 789-0535
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3993 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3993 | WY | Yes |
Addresses
Primary practice location
70 Yellow Creek Rd
Evanston, WY 82930-5227
Mailing address
21 N 100 W
Salem, UT 84653-9541
NPI Registry JSON
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1659899508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 N 100 W",
"city": "SALEM",
"state": "UT",
"postal_code": "846539541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 YELLOW CREEK RD",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305227",
"telephone_number": "307-789-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JESSIE",
"middle_name": "FAYE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.