DR. JACK BRYAN TAYLOR (NPI# 1962049635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962049635 |
| Entity Type | Individual |
| Full Name | DR. JACK BRYAN TAYLOR |
| Credential | PHARMD |
| Practice Address |
2029 Gordon Cooper Dr Shawnee OK 74801-9005 |
| Practice Telephone | 4058785859 |
| Practice Fax Number | 4052144230 |
| Mailing Telephone | 4058785859 |
| Mailing Fax Number | 4052144230 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17050 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689810913 | Jack Barney Taylor IIi | Counselor | 1617 Flat Shoals Rd Ne, Milledgeville, GA 31061-2203 | 2008-12-16 |
| 1386753044 | Jack Rogers Taylor | Dentist | 843 Hwy 277, Chipley, FL 32428 | 2006-08-29 |
| 1992174676 | Jack Taylor | Preventive Medicine | 111 Tw Alexander Dr, Durham, NC 27709-0002 | 2015-09-23 |
| 1396967949 | Jack R Taylor | Chiropractor | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2007-05-03 |
| 1467477505 | Jack A. Taylor | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-12 |
| 1346229812 | Jack Andre Taylor | Family Medicine | 1120 S Jackson Hwy, Suite 300, Sheffield, AL 35660-5777 | 2006-01-12 |
| Street Address |
2029 GORDON COOPER DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972615607 | Pachneerat Chainakul | Pediatrics | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2006-08-31 |
| 1689174989 | Jessica Lynn Kendall | Nurse Practitioner | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2018-02-14 |
| 1144761073 | Susan George | Nurse Practitioner | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2017-03-11 |
| 1831564269 | Dustin Wayne Alexander | Nurse Practitioner | 2029 Gordon Cooper Dr, Shawnee, OK 74801 | 2015-12-10 |
| 1285037762 | John Soap Jr. | Counselor | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2014-09-29 |
| 1922420280 | Cody Key | Pharmacist | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2014-01-06 |
| 1427300243 | Jessica Collum | Pharmacist | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2012-10-03 |
| 1932483278 | Alicja Carter | Counselor | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2011-10-05 |
| 1376644930 | Christine Chouteau Walsh | Internal Medicine | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447984 | Brooke Nichole Steiner | Pharmacist | 21702 W 58th St, Shawnee, KS 66218-8933 | 2020-08-14 |
| 1891148706 | James Thornton | Pharmacist | 4926 Woodstock St, Shawnee, KS 66218-9141 | 2016-07-14 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1750775144 | Kamlesh Trivedi | Pharmacist | 20814 W 72nd Ter, Shawnee, KS 66218-8646 | 2015-03-24 |
| 1659782860 | John Roesle | Pharmacist | 7531 Monticello Rd, Shawnee, KS 66227-2162 | 2014-05-12 |
| 1215204466 | Thuy Kim Nguyen | Pharmacist | 21810 W 51st St, Shawnee, KS 66226-2424 | 2011-11-16 |
| 1114200227 | Julie Wolfe | Pharmacist | 22700 W 55th Ter, Shawnee, KS 66226-5602 | 2011-09-25 |
| 1093096562 | Justin Ryan Canfield | Pharmacist | 1427 N Harrison St, Shawnee, OK 74801-5245 | 2011-08-29 |
| 1497077473 | James Brian Ogden | Pharmacist | 2323 N Harrison St, Shawnee, OK 74804-3134 | 2010-02-18 |
| 1598842767 | Timothy Alan Barrick | Pharmacist | 2803 Saratoga St, Shawnee, OK 74804-1739 | 2006-11-01 |
| Find all providers in SHAWNEE | ||||
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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.