Taylor Douglas, PHARM.D
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Tollesboro, KY
NPI 1821608415 · NPPES record last updated Aug 7, 2020
Key facts
- NPI
- 1821608415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 03439936 (OH)
- Practice address
- 470 Garrad Rd
Tollesboro, KY 41189-8653 - Phone
- (606) 782-6800
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 03439936 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03439936 | OH | Yes |
Addresses
Primary practice location
470 Garrad Rd
Tollesboro, KY 41189-8653
Mailing address
470 Garrad Rd
Tollesboro, KY 41189-8653
Phone (606) 782-6800
Other providers in Tollesboro, KY
- Michelle Lee Gilliland
- Erin M Himes
- Lewis County Health Department
- Lewis County Primary Care Center, Inc.
- Lewis County Primary Care Center, Inc.
All providers in Tollesboro, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 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.