Active NPI
Taylor Easley
- Pharmacist
- Olympia, WA
National Provider Identifier
1891460739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61355356
- Practice address
- 3900 Capital Mall Dr SW
Olympia, WA 98502-8654 - Phone
- (360) 754-5858
- NPI assigned
- Aug 12, 2021
- Last updated
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30754 | NC | |
| Pharmacist | 183500000X | PH61355356 | WA | Primary |
Addresses
Primary practice location
3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Mailing address
4606 N 28TH St
Tacoma, WA 98407-4618
Phone (980) 229-0245
Other practice location 1
601 McPhee Rd SW Bldg 2
Olympia, WA 98502-5080
Phone (360) 706-6490
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 |
|---|---|---|---|
| 30754 | NC | MD | Pharmacist |
| PH61355356 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients | |
| Harris Teeter LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1891460739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 N 28TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984074618",
"telephone_number": "980-229-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CAPITAL MALL DR SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-754-5858"
}
],
"practiceLocations": [
{
"address_1": "601 McPhee Rd SW Bldg 2",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985025080",
"country_code": "US",
"telephone_number": "360-706-6490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASLEY",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NC",
"license": "30754",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61355356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
- Ear Nose and Throat Associates PLLC
- Ear Nose and Throat Associates Southwest Inc PS
- Ear Nose and Throat Associates Southwest Inc PS (Olympia Surgery Center)
- Tarah Jade Earhart, LMHC
- Shelley S Earing, MPT OCS
- Jenae Eastman, MC
- Eastside Urgent Care Dentistry (Eastside Emergency Dentistry)
- Alice Audrey Eaton, MD
- Jeremy Joseph Eaton, DO
- Evelyn Ebarle Ebalo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.