Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306707013 Individual Practitioner Male Practitioner

Taylor Mark Phillips

Pharmacist • Idaho Falls, ID

Professional Overview & Biography Verified Profile Summary

Taylor Phillips is a registered healthcare professional specializing in Pharmacist in Idaho Falls, ID. Practice services are available at 3100 CHANNING WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 Channing Way

Idaho Falls, ID 834047533

Telephone 2085354769
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Idaho Falls, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
92 Specialists

Practicing in Idaho Falls, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID 9771562

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Carl Brayton , DO

Student in an Organized Health Care Education/Training Program

NPI 1003617192

Doctor of Osteopathic Medicine (D.O.)

Reed Loertscher , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013235951

Certified Registered Nurse Anesthetist

Alexis Siddoway , NP

Nurse Practitioner - Neonatal

NPI 1013352285

Nurse Practitioner

Dr. Venkata Kalyan Byrapogu , MD

Student in an Organized Health Care Education/Training Program

NPI 1013619832

Doctor of Medicine (M.D.)

Taylor Carson

Student in an Organized Health Care Education/Training Program

NPI 1013835859
Dr. Noor Nassef , DO

Student in an Organized Health Care Education/Training Program

NPI 1013855295

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2025

Registered at 3100 CHANNING WAY, IDAHO FALLS, ID 834047533 (Tel: 2085354769)

📍
Updated Business Mailing Address November 21, 2025

Registered at 2746 JUDY ST APT 3102, AMMON, ID 834065244 (Tel: 2085060050)

👤
Provider Name / Credentials Updated November 21, 2025

Recorded as TAYLOR PHILLIPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2025

Pharmacist (License #9771562 in ID)

🟢
Initial NPI Registration & Enumeration November 21, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306707013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2025
Last Update: November 21, 2025
Sole Proprietor: No

Mailing Address

2746 Judy St Apt 3102

Ammon, ID 834065244

Phone: 2085060050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.