Tyler Ronald Windhausen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

067255 Issued in NY

Practice address

153 Main St
Owego, NY 13827-1779

Phone

(607) 687-0891

NPI assigned

Nov 5, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1043811029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BAILEY RD",
            "city": "FABIUS",
            "state": "NY",
            "postal_code": "130639845",
            "telephone_number": "315-427-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAIN ST",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271779",
            "telephone_number": "607-687-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAUSEN",
        "first_name": "TYLER",
        "middle_name": "RONALD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie White, SLP
• Sharon Y. Williams-Como, CASAC
• Gary J Williams, OD
• Janeille Franzenburg Williams, LMSW
• Carrie A Wilson
• Jill Anne Worthington, LCSW
• Rebecca Susanne Wurm, OTR/L
• Davis Samuel Young, PA
• Debra Elizabeth Younker, COTA/L
• Sarah Zafar

• Pharmacist in Owego, NY
• Providers in Owego, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.