Provider Demographics
NPI:1912616475
Name:MEADOR, TAYLOR MEGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:MEGAN
Last Name:MEADOR
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TAYLOR
Other - Middle Name:MEGAN
Other - Last Name:BUFFUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 HALVERGATE LN
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-7007
Mailing Address - Country:US
Mailing Address - Phone:816-885-5437
Mailing Address - Fax:
Practice Address - Street 1:1204 SE 28TH ST STE 2
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3887
Practice Address - Country:US
Practice Address - Phone:816-885-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD16772183500000X
UT12007613-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist