Provider Demographics
NPI:1003588831
Name:TAYLOR, ALEXANDRIA DAY (PHARMD, CPP)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:DAY
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 LAKE SHORE RESERVE CT
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-0124
Mailing Address - Country:US
Mailing Address - Phone:615-473-4814
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER BLVD 7TH FLOOR JANEWAY TOWER
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-713-3425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30590183500000X
OH03438704183500000X
NC7003211835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist