Healthcare Provider Details

I. General information

NPI: 1205768017
Provider Name (Legal Business Name): TAYLER RHEA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 EASTBROOKE PKWY
MOUNT WASHINGTON KY
40047-5600
US

IV. Provider business mailing address

6102 MERCURY DR
LOUISVILLE KY
40291-2288
US

V. Phone/Fax

Practice location:
  • Phone: 502-538-1241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025565
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: