Provider Demographics
NPI:1629122007
Name:PIPKIN, ROBIN TAYLOR (R PH)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:TAYLOR
Last Name:PIPKIN
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3037 LITTLE BEAR HWY
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42044-9207
Mailing Address - Country:US
Mailing Address - Phone:270-362-7933
Mailing Address - Fax:
Practice Address - Street 1:2755 W PARK DR
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-9058
Practice Address - Country:US
Practice Address - Phone:270-443-0909
Practice Address - Fax:270-442-5544
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10138183500000X
TN136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist