Taylor Mitchell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH030587 Issued in GA

Practice address

2600 Old Chattanooga Rd
Rocky Face, GA 30740-8511

Phone

(706) 259-0668

NPI assigned

Dec 22, 2020

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Weaver Rocky Face Pharmacy P C

  dba Weavers Rocky Face Pharmacy

  • Community/Retail Pharmacy
  • Rocky Face, GA
  • NPI 1013073386
  NPD (past)
• Weavers Rocky Face Pharmacy Group Inc

  dba Weavers Rocky Face Pharmacy

  • Community/Retail Pharmacy
  • Rocky Face, GA
  • NPI 1942798012
  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1790372019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OLD CHATTANOOGA RD",
            "city": "ROCKY FACE",
            "state": "GA",
            "postal_code": "307408511",
            "telephone_number": "706-259-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD CHATTANOOGA RD",
            "city": "ROCKY FACE",
            "state": "GA",
            "postal_code": "307408511",
            "telephone_number": "706-259-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Rivers Community Service Board
• Roddy Paul Ingraham, M.D.
• Penny Denise Jackson
• Mill Creek Center P.C.
• Joseph Richard Mitchell, SA-C
• Cassie Patt, IHP
• Deborah Lynn Rayner
• Diane Ryland, CRNA
• Carmen Warren Shepard, LPC
• Lena Dijontala Ellanesha Washington

• Pharmacist in Rocky Face, GA
• Providers in Rocky Face, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.