Active NPI
Taylor Ellen Prince, PHARMD
- Pharmacist
- Festus, MO
National Provider Identifier
1669140695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2021028719
- Practice address
- 116 Walnut St
Festus, MO 63028-1848 - Phone
- (636) 937-7997
- Fax
- (636) 937-7998
- NPI assigned
- Sep 3, 2021
- 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 | 2021028719 | MO | Primary |
Addresses
Primary practice location
116 Walnut St
Festus, MO 63028-1848
Mailing address
116 Walnut St
Festus, MO 63028-1848
Phone (636) 937-7997
Other practice location 1
610 E High St
Potosi, MO 63664-1406
Phone (573) 438-2189
Other practice location 2
113 Saint Francois Plz
Leadington, MO 63601-4454
Phone (573) 431-5040
Other practice location 3
60 Nesbit Dr Ste A
Bonne Terre, MO 63628-1347
Phone (573) 358-3301
Other practice location 4
1107 Main Street Ave
Imperial, MO 63052-6305
Phone (636) 464-1100
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 |
|---|---|---|---|
| 2021028719 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1669140695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 WALNUT ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281848",
"telephone_number": "636-937-7997",
"fax_number": "636-937-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 WALNUT ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281848",
"telephone_number": "636-937-7997",
"fax_number": "636-937-7998"
}
],
"practiceLocations": [
{
"address_1": "610 E High St",
"address_purpose": "LOCATION",
"city": "Potosi",
"state": "MO",
"postal_code": "636641406",
"country_code": "US",
"telephone_number": "573-438-2189",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "113 Saint Francois Plz",
"address_purpose": "LOCATION",
"city": "Leadington",
"state": "MO",
"postal_code": "636014454",
"country_code": "US",
"telephone_number": "573-431-5040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Nesbit Dr Ste A",
"address_purpose": "LOCATION",
"city": "Bonne Terre",
"state": "MO",
"postal_code": "636281347",
"country_code": "US",
"telephone_number": "573-358-3301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1107 MAIN STREET AVE",
"address_purpose": "LOCATION",
"city": "IMPERIAL",
"state": "MO",
"postal_code": "630526305",
"country_code": "US",
"telephone_number": "636-464-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINCE",
"first_name": "TAYLOR",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2021028719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
- Rachel E Pourchot
- Timothy Power, PLPC
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Bailey Nicole Prater
- Kathleen E Prendergast
- Proaction Health, LLC
- Professional Prescription Services LLC (Parkland Health Mart Pharmacy)
- Professional Prescription Services LLC (Parkland HealthMart)
- Progressive Pain Management PC
- Prorehab, PC (Athletico Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.