Individual provider Active NPI

Taylor Ellen Prince, PHARMD

  • Pharmacist
  • Festus, MO
National Provider Identifier
1669140695
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2021028719 Issued in MO
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

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2021028719MOMDPharmacist

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

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.

Verify at the official NPI Registry.