Active NPI
Andrea Taylor, PHARM D
- Pharmacist
- Highland, AR
National Provider Identifier
1902956246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AR9351
- Practice address
- 1243 Highway 62 412
Highland, AR 72542-9469 - Phone
- (870) 856-3080
- Fax
- (870) 856-4165
- NPI assigned
- Jan 11, 2007
- Last updated
- Apr 28, 2021
- Sex
- Female
- 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 | AR9351 | AR | Primary |
Addresses
Primary practice location
1243 Highway 62 412
Highland, AR 72542-9469
Mailing address
PO Box 428
Ash Flat, AR 72513-0428
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR9351 | AR | MD | Pharmacist |
Organizations & group practices 1
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": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1902956246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "ASH FLAT",
"state": "AR",
"postal_code": "725130428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 HIGHWAY 62 412",
"city": "HIGHLAND",
"state": "AR",
"postal_code": "725429469",
"telephone_number": "870-856-3080",
"fax_number": "870-856-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ANDREA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "AR9351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.