Taylor Fruits

Primary specialty

PharmacistTaxonomy code 183500000X

License

26029851A Issued in IN

Practice address

152 Penn Dr Apt D
Avon, IN 46123-4581

Phone

(317) 374-1303

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1679280754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 PENN DR APT D",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461234581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 PENN DR APT D",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461234581",
            "telephone_number": "317-374-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUITS",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26029851A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "none",
            "city": "none",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Freedom Mobility LLC
• Celia Freeman, MA CMHC
• Michelle Denise Freeman, LMFT
• Samantha Freije
• Kyle Andrew Frick, MD
• David Lawrence Fryman, M.D.
• Ping Fu, MD., PH.D
• Michael D Gabbard II, M.D.
• Gabra Sadik Gachaw, MD
• Amanda Michelle Galvan Trejo

• Pharmacist in Avon, IN
• Providers in Avon, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.