Organization Active NPI

Taylor Drug Inc

Doing business as Taylor Drug LLC

  • Pharmacy
  • American Fork, UT
National Provider Identifier
1982762373
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
371000-1703 Issued in UT
Legal business name
TAYLOR DRUG INC
Doing business as
Taylor Drug LLC
Practice address
76 N 1100 E
American Fork, UT 84003-2952
Phone
(801) 756-4021
Fax
(801) 756-1181
NPI assigned
Dec 5, 2006
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Clayton GraceNPI 1275752446
Title
Owner Pharmacist
Phone
(801) 756-4021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 371000-1703 UT
Oxygen Equipment & Supplies (DME) 332BX2000X 371000-1703 UT
Pharmacy 333600000X 371000-1703 UT Primary
Community/Retail Pharmacy 3336C0003X 371000-1703 UT
Compounding Pharmacy 3336C0004X 371000-1703 UT

Addresses

Primary practice location

76 N 1100 E
American Fork, UT 84003-2952

Mailing address

76 N 1100 E
American Fork, UT 84003-2952
Phone (801) 756-4021

Other identifiers 2

IdentifierTypeStateIssuer
1982762373MedicaidUT
371000-1703OtherUTUTAH STATE LICENSE NUMBER

Other names 2

  • Taylor Drug LLC Doing business as
  • Taylor Drug Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060214000618 UT Part B Supplier - Mass Immunization (Roster Biller Only) 3870508799 Practice locations: American Fork, UT
O20100930040980 UT DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 3870508799 Practice locations: American Fork, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2306614Taylor Drug76 North 1100 East, American Fork, UT 84003Certificate of waiverJun 20, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Taylor Drug76 N 1100 E, American Fork, UT 84003-2952(801) 756-4021 Immunosuppressive Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchair Seating/Cushions|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Sep 1, 2005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1982762373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032952",
            "telephone_number": "801-756-4021",
            "fax_number": "801-756-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032952",
            "telephone_number": "801-756-4021",
            "fax_number": "801-756-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "801-756-4021"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "371000-1703",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "UT",
            "license": "371000-1703",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "371000-1703",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "371000-1703",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "UT",
            "license": "371000-1703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982762373",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE LICENSE NUMBER",
            "identifier": "371000-1703",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Drug LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taylor Drug",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Taylor Drug",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.