TAYLOR NICHOLS (NPI# 1629438882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629438882 |
| Entity Type | Individual |
| Full Name | TAYLOR NICHOLS |
| Credential | PHARMD |
| Practice Address |
1800 E Van Buren St Phoenix AZ 85006-3742 |
| Practice Telephone | 6022518818 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
4150033 | AZ | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
S020922 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332941 | Taylor Marie Nichols | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-08-22 |
| 1619249034 | Taylor Nichols | Emergency Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2012-02-01 |
| Street Address |
1800 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1932709342 | St Lukes Behavioral Hospital Lp | Clinic/Center | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-10-27 |
| 1841804481 | Envision Solutions Pllc | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-09-01 |
| 1932739539 | Mary Ndumbe | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-01-22 |
| 1275173205 | Joaquin B Bermudez Do PC | Psychiatric Hospital | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2020-01-07 |
| 1700420403 | Linda Jean Lieber | Nurse Practitioner | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-11-05 |
| 1306492046 | Christian M Azode | Registered Nurse | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-08-16 |
| 1649733981 | Pv Mountain Medical Pllc | Internal Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-04-12 |
| 1558827998 | Steward Emergency Physicians of Arizona Inc | Emergency Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2019-02-11 |
| 1174091698 | Physician Group of Arizona Inc | Emergency Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2018-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1487101028 | Marisol Ibarra | Pharmacist | 4802 N 12th St Apt 1086, Phoenix, AZ 85014-4098 | 2016-09-01 |
| 1457719858 | John Randle House | Pharmacist | 3345 E Behrend Dr, Phoenix, AZ 85050-3983 | 2016-02-01 |
| 1790113637 | Patricia Dorothea Hoyt | Pharmacist | 1300 N 12th St # 406, Phoenix, AZ 85006-2848 | 2013-10-30 |
| 1326313982 | Pamela Ann Wolfson | Pharmacist | 4212 E Sunrise Dr, Phoenix, AZ 85044-1012 | 2012-03-15 |
| 1114928314 | Daniel Patrick Boyle | Pharmacist | 650 E Indian School Rd Dept Of, Phoenix, AZ 85012-1839 | 2005-08-10 |
| 1619584620 | Anh Nguyen Truc Huynh | Pharmacist | 3511 W Peoria Ave, Phoenix, AZ 85029-4037 | 2020-09-24 |
| 1376154385 | Doyinsola Adetunji | Pharmacist | 4707 E Shea Blvd, Phoenix, AZ 85028-4215 | 2020-08-13 |
| 1881220432 | Palna Suri Patel | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-03-16 |
| 1780163287 | Delia Saadeh Ziadat | Pharmacist | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2018-08-07 |
| 1144723495 | Maricopa County D.b.a. Maricopa County Depart | Pharmacist | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2018-03-13 |
| Find all providers in PHOENIX | ||||
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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.