Provider Demographics
NPI:1699456517
Name:CUMMINGS, TAYLOR RAE (PHARMD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:RAE
Last Name:CUMMINGS
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 1:4320 S ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2412
Mailing Address - Country:US
Mailing Address - Phone:361-993-5068
Mailing Address - Fax:
Practice Address - Street 1:4320 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-2412
Practice Address - Country:US
Practice Address - Phone:361-993-5068
Practice Address - Fax:361-980-1446
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72439183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist