Tara Nicole Taylor Ayers, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Dalton, GA
NPI 1689214827 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1689214827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- RPH031503 (GA)
- Practice address
- 1365 W Walnut Ave
Dalton, GA 30720-3857 - Phone
- (706) 270-0850
- Fax
- (706) 270-0852
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031503 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past |
Accepting new patients | |
| Kroger Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH031503 | GA | Yes |
Addresses
Primary practice location
1365 W Walnut Ave
Dalton, GA 30720-3857
Mailing address
402 New Zion Rd SW
Calhoun, GA 30701-7934
Phone (770) 480-2414
Other providers in Dalton, GA
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- Rami Azzouz
- Amanda Bailey
- Kimberly Bailey
- Reba Ellen Bales
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All providers in Dalton, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.