Provider Demographics
NPI:1134898471
Name:NEWTON, TAYLOR DESTINY
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:DESTINY
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 WHISPERING PINE ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8281
Mailing Address - Country:US
Mailing Address - Phone:828-432-7074
Mailing Address - Fax:
Practice Address - Street 1:935 BLOWING ROCK BLVD
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-3785
Practice Address - Country:US
Practice Address - Phone:828-754-2184
Practice Address - Fax:828-754-2462
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist