Active NPI
Shawn R Taylor
- Pharmacist
- Cross Lanes, WV
National Provider Identifier
1962745299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007887
- Practice address
- 101 Goff Mountain Rd
Cross Lanes, WV 25313-1410 - Phone
- (304) 769-0590
- Fax
- (304) 769-0596
- NPI assigned
- Apr 4, 2013
- 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 | RP0007887 | WV | Primary |
Addresses
Primary practice location
101 Goff Mountain Rd
Cross Lanes, WV 25313-1410
Mailing address
101 Goff Mountain Rd
Cross Lanes, WV 25313-1410
Phone (304) 769-0590
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 |
|---|---|---|---|
| RP0007887 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1962745299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GOFF MOUNTAIN RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131410",
"telephone_number": "304-769-0590",
"fax_number": "304-769-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GOFF MOUNTAIN RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131410",
"telephone_number": "304-769-0590",
"fax_number": "304-769-0596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHAWN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.