TAYLOR DOUGLAS (NPI# 1821608415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821608415 |
| Entity Type | Individual |
| Full Name | TAYLOR DOUGLAS |
| Credential | PHARM.D |
| Practice Address |
470 Garrad Rd Tollesboro KY 41189-8653 |
| Practice Telephone | 6067826800 |
| Mailing Telephone | 6067826800 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03439936 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511181 | Taylor M Douglas | Student in an Organized Health Care Education/Training Program | W1766 Ten Eyck Rd, Brodhead, WI 53520-9528 | 2020-06-02 |
| 1487150165 | Taylor Lee Douglas | Optometrist | 900 W Mem Dr, Houghton, MI 49931 | 2018-04-02 |
| 1669016234 | Taylor Douglas | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-11-06 |
| 1457884447 | Taylor Douglas | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Box 1228, Brooklyn, NY 11203-2012 | 2017-04-06 |
| 1053729889 | Taylor Brooks Douglas | Technician, Other | 515 Palm Coast Pkwy Sw, Suite 6/7, Palm Coast, FL 32137-4739 | 2014-07-24 |
| Street Address |
470 GARRAD RD |
| City | TOLLESBORO |
| State | KY |
| Zip Code | 41189-8653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386714244 | Penny Sue Liles | Pharmacist | Route 1 Box 1005, Tollesboro, KY 41189 | 2006-11-08 |
| 1477564987 | Lewis County Primary Care Center, Inc. | Pharmacy | 17521 W Ky Hwy 9, Tollesboro, KY 41189 | 2006-08-10 |
| 1205951084 | Lewis County Primary Care Center, Inc. | Clinic/Center | 17521 W Ky 9, Tollesboro, KY 41189 | 2007-03-20 |
| 1629688973 | Heather Barnoski | Nurse Practitioner | 12072 Ky 57, Tollesboro, KY 41189-8529 | 2020-08-02 |
| 1811543630 | Angela Faye Poston | Nurse Practitioner | 127 E Evans Rd, Tollesboro, KY 41189-8626 | 2019-08-16 |
| 1598162976 | Trayla Liles I | Specialist/Technologist | 1698 Burtonville Rd, Tollesboro, KY 41189-8749 | 2014-12-01 |
| 1538495932 | Lewis County Health Department | Public Health or Welfare | 2431 W Ky 10, Tollesboro, KY 41189-8827 | 2009-10-20 |
| 1871565549 | Patti S Poczatek | Family Medicine | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-06 |
| 1043283252 | Erin M Himes | Physician Assistant | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688973 | Heather Barnoski | Nurse Practitioner | 12072 Ky 57, Tollesboro, KY 41189-8529 | 2020-08-02 |
| 1811543630 | Angela Faye Poston | Nurse Practitioner | 127 E Evans Rd, Tollesboro, KY 41189-8626 | 2019-08-16 |
| 1598162976 | Trayla Liles I | Specialist/Technologist | 1698 Burtonville Rd, Tollesboro, KY 41189-8749 | 2014-12-01 |
| 1538495932 | Lewis County Health Department | Public Health or Welfare | 2431 W Ky 10, Tollesboro, KY 41189-8827 | 2009-10-20 |
| 1386714244 | Penny Sue Liles | Pharmacist | Route 1 Box 1005, Tollesboro, KY 41189 | 2006-11-08 |
| 1477564987 | Lewis County Primary Care Center, Inc. | Pharmacy | 17521 W Ky Hwy 9, Tollesboro, KY 41189 | 2006-08-10 |
| 1871565549 | Patti S Poczatek | Family Medicine | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-06 |
| 1205951084 | Lewis County Primary Care Center, Inc. | Clinic/Center | 17521 W Ky 9, Tollesboro, KY 41189 | 2007-03-20 |
| 1043283252 | Erin M Himes | Physician Assistant | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-08 |
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1053910976 | Cathy Ramsey Quarles | Pharmacist | 205 Clifty Dr, Frankfort, KY 40601-9500 | 2020-10-21 |
| 1972101434 | Shannon Michelle Brown | Pharmacist | 350 Us 31w Byp, Bowling Green, KY 42101-1770 | 2020-10-15 |
| 1790397081 | Ryan Babb | Pharmacist | 740 S Limestone J-134, Lexington, KY 40536-0001 | 2020-08-19 |
| 1255956405 | Alka Herald | Pharmacist | 1417 Glenview Dr, Lexington, KY 40514-2209 | 2020-06-13 |
| 1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
| 1134743248 | Donna Rene Burgess | Pharmacist | Uk Bluegrass Care Clinic 740 S Limestone L504, Lexington, KY 40536-0001 | 2020-06-04 |
| 1417580069 | Amy Remendado Cordero | Pharmacist | 1661 Bypass Rd, Winchester, KY 40391-2715 | 2020-02-21 |
| 1568095909 | Martha Ford | Pharmacist | 375 Crossroads Boulevard, Cold Spring, KY 41076 | 2020-02-13 |
| 1013549146 | Shawna Wallen | Pharmacist | 300 Brighton Park Blvd, Frankfort, KY 40601 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | TOLLESBORO |
| Zip Code | 41189 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.