Provider Demographics
NPI:1861492936
Name:TAYLOR PHARMACY INC
Entity Type:Organization
Organization Name:TAYLOR PHARMACY INC
Other - Org Name:TAYLOR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DME OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:RUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-756-5201
Mailing Address - Street 1:109 FAIRGROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:HARDINSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40143-2583
Mailing Address - Country:US
Mailing Address - Phone:270-756-5222
Mailing Address - Fax:270-756-6499
Practice Address - Street 1:109 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-2583
Practice Address - Country:US
Practice Address - Phone:270-756-5222
Practice Address - Fax:270-756-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BX2000X
KYP076433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54000609Medicaid
2028688OtherPK
0137760001Medicare NSC