Provider Demographics
NPI:1801515663
Name:BAYAM, TAYLOR ALEXIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:ALEXIS
Last Name:BAYAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 8TH AVE S APT 509
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2398
Mailing Address - Country:US
Mailing Address - Phone:225-362-1129
Mailing Address - Fax:
Practice Address - Street 1:7601 HWY 70 S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1853
Practice Address - Country:US
Practice Address - Phone:615-646-5173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist