Individual provider Active NPI

Taylor Kumm, RPH

  • Pharmacist
  • Sutherlin, OR
National Provider Identifier
1669072278
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0018075 Issued in OR
Practice address
113 E Central Ave
Sutherlin, OR 97479-9556
Phone
(541) 459-2712
NPI assigned
Nov 1, 2020
Last updated
Nov 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0018075 OR Primary

Addresses

Primary practice location

113 E Central Ave
Sutherlin, OR 97479-9556

Mailing address

710 10TH Ave SW
Great Falls, MT 59404-3312
Phone (406) 231-6893

Other practice location 1

1813 W Harvard Ave Ste 210
Roseburg, OR 97471-2709
Phone (541) 229-1112

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH-0018075ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1669072278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 10TH AVE SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043312",
            "telephone_number": "406-231-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E CENTRAL AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799556",
            "telephone_number": "541-459-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 W Harvard Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974712709",
            "country_code": "US",
            "telephone_number": "541-229-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMM",
        "first_name": "TAYLOR",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0018075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutherlin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.