Individual provider Active NPI

Jeffrey D Taylor, PHARMD

  • Pharmacist
  • Orange Beach, AL
National Provider Identifier
1962749804
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16805 Issued in AL
Practice address
25771 Perdido Beach Blvd
Orange Beach, AL 36561-6107
Phone
(251) 980-1445
Fax
(251) 980-1468
NPI assigned
Jan 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16805 AL Primary

Addresses

Primary practice location

25771 Perdido Beach Blvd
Orange Beach, AL 36561-6107

Mailing address

25771 Perdido Beach Blvd
Orange Beach, AL 36561-6107
Phone (251) 980-1445

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

LicenseStateTypeSpecialty
16805ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Alabama, LLC Past Accepting new patients
Publix Alabama LLC PastSince Mar 3, 2024 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1962749804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25771 PERDIDO BEACH BLVD",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365616107",
            "telephone_number": "251-980-1445",
            "fax_number": "251-980-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25771 PERDIDO BEACH BLVD",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365616107",
            "telephone_number": "251-980-1445",
            "fax_number": "251-980-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.