Active NPI
Kevin Taylor Dover
- Pharmacist
- Columbus, OH
National Provider Identifier
1861715450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03112196
- Practice address
- 5005 Olentangy River Rd
Columbus, OH 43214-1928 - Phone
- (614) 451-0930
- Fax
- (451) 459-1675
- NPI assigned
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03112196 | OK | Primary |
Addresses
Primary practice location
5005 Olentangy River Rd
Columbus, OH 43214-1928
Mailing address
3348 River Narrows Rd
Hilliard, OH 43026-7830
Phone (614) 771-5404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03112196 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1861715450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3348 RIVER NARROWS RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267830",
"telephone_number": "614-771-5404",
"fax_number": "614-771-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141928",
"telephone_number": "614-451-0930",
"fax_number": "451-459-1675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVER",
"first_name": "KEVIN",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "03112196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.