Active NPI
Colton Noah Taylor, PHARMACIST
- Pharmacist
- Crossett, AR
National Provider Identifier
1982337176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD16069
- Practice address
- 1600 Dr Martin Luther King Jr Dr
Crossett, AR 71635-3363 - Phone
- (870) 634-8220
- NPI assigned
- Jul 5, 2022
- 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 | PD16069 | AR | Primary |
Addresses
Primary practice location
1600 Dr Martin Luther King Jr Dr
Crossett, AR 71635-3363
Mailing address
11070 Highway 371 S
Stamps, AR 71860-9635
Phone (870) 904-6241
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 |
|---|---|---|---|
| PD16069 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1982337176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11070 HIGHWAY 371 S",
"city": "STAMPS",
"state": "AR",
"postal_code": "718609635",
"telephone_number": "870-904-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DR MARTIN LUTHER KING JR DR",
"city": "CROSSETT",
"state": "AR",
"postal_code": "716353363",
"telephone_number": "870-634-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "COLTON",
"middle_name": "NOAH",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD16069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crossett, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.