Tyler Young, PHARMD.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH60369774 Issued in WA

Practice address

17617 Vashon Hwy SW
Vashon, WA 98070-4682

Phone

(206) 463-9118

Fax

(206) 463-6950

NPI assigned

May 7, 2013

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vashon Pharmacy Inc

  • Community/Retail Pharmacy
  • Vashon, WA
  • NPI 1184764177

  Pharmacist

  NPD Authorized official

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1073958807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17617 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704682",
            "telephone_number": "206-463-9118",
            "fax_number": "206-463-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17617 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704682",
            "telephone_number": "206-463-9118",
            "fax_number": "206-463-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 SE Everett Mall Way",
            "address_2": "T-337",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982083243",
            "country_code": "US",
            "telephone_number": "425-353-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TYLER",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "IR60099702",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60369774",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60369774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Leigh Wolny, LMP
• Vanessa Marie Wood, LMT
• Steven James Wren, LMHC
• Kelly C Wright, N.D.
• Abby Wen Wu
• Chenlei Zhang, MHCA.MC
• Jeffrey Zheutlin, M.A., L.M.H.C.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Vashon, WA
• Providers in Vashon, WA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.