Individual provider Active NPI

Taylor Ann Toomey

  • Pharmacist
  • Syracuse, NY
National Provider Identifier
1679053573
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I064386 Issued in NY
Practice address
6040 Tarbell Rd Ste 103
Syracuse, NY 13206-1348
Phone
(888) 843-2040
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064386 NY
Pharmacist 183500000X I064386 NY Primary

Addresses

Primary practice location

6040 Tarbell Rd Ste 103
Syracuse, NY 13206-1348

Mailing address

3642 Whispering Woods
Baldwinsville, NY 13027
Phone (315) 876-3472

Other practice location 1

21 E Genesee St
Baldwinsville, NY 13027-2501
Phone (315) 635-3155

Other practice location 2

3666 Nys Rte 281
Cortland, NY 13045-3576
Phone (607) 753-9359

Other practice location 3

104 Lafayette Rd
Syracuse, NY 13205-2555
Phone (315) 492-0248

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

State licenses

LicenseStateTypeSpecialty
I064386NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KPH Healthcare Services, Inc. Past Accepting new patients
KPH Healthcare Services, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1679053573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 WHISPERING WOODS",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "13027",
            "telephone_number": "315-876-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 TARBELL RD STE 103",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061348",
            "telephone_number": "888-843-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130272501",
            "country_code": "US",
            "telephone_number": "315-635-3155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3666 Nys Rte 281",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130453576",
            "country_code": "US",
            "telephone_number": "607-753-9359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Lafayette Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132052555",
            "country_code": "US",
            "telephone_number": "315-492-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOOMEY",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064386",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I064386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.