Active NPI
Ronnie Darrell Tyson, PHARM.D.
- Pharmacist
- St Matthews, SC
National Provider Identifier
1023227139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8506
- Practice address
- 198 Coulter Rd
Saint Matthews, SC 29135-8534 - Phone
- (803) 874-2160
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8506 | SC | Primary |
Addresses
Primary practice location
198 Coulter Rd
Saint Matthews, SC 29135-8534
Mailing address
198 Coulter Rd
Saint Matthews, SC 29135-8534
Phone (803) 874-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8506 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023227139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 COULTER RD",
"city": "SAINT MATTHEWS",
"state": "SC",
"postal_code": "291358534",
"telephone_number": "803-874-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 COULTER RD",
"city": "SAINT MATTHEWS",
"state": "SC",
"postal_code": "291358534",
"telephone_number": "803-874-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "RONNIE",
"middle_name": "DARRELL",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Matthews, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.