Healthcare Provider Details
I. General information
NPI: 1467180216
Provider Name (Legal Business Name): TAYLOR PIES
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2022
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 N MAIN ST
CHAMBERLAIN SD
57325-1240
US
IV. Provider business mailing address
PO BOX 800
AKRON IA
51001-0800
US
V. Phone/Fax
- Phone: 605-234-5871
- Fax:
- Phone: 712-568-2013
- Fax: 712-568-2711
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 24518 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 7215 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: