Organization Active NPI

Taylor Pharmacies

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • West Plains, MO
National Provider Identifier
1689382822
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TAYLOR PHARMACIES
Doing business as
Medicine Shoppe
Practice address
1406 N Kentucky Ave Ste 200
West Plains, MO 65775-1839
Phone
(417) 408-8955
Fax
(417) 408-8956
NPI assigned
Nov 7, 2022
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Daniel Taylor
Title
President/Ceo
Phone
(417) 408-8955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1406 N Kentucky Ave Ste 200
West Plains, MO 65775-1839

Mailing address

1406 N Kentucky Ave Ste B
West Plains, MO 65775-1822
Phone (928) 380-3999

Other names 1

  • Medicine Shoppe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215000554 MO Part B Supplier - Mass Immunization (Roster Biller Only) 8123499811 Practice locations: West Plains, MO

National Provider Directory

National Provider Directory

Locations

1406 N Kentucky Ave
Ste 20
West Plains, MO 65775
Phone (928) 380-3999

1406 N Kentucky Ave
Ste 200
West Plains, MO 65775
Phone (417) 408-8955

1406 N Kentucky Ave
Ste B
West Plains, MO 65775

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1689382822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N KENTUCKY AVE STE B",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751822",
            "telephone_number": "928-380-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N KENTUCKY AVE STE 200",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751839",
            "telephone_number": "417-408-8955",
            "fax_number": "417-408-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PHARMACIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "417-408-8955"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.