Tyler Christian Deckard, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

15690 Issued in OK

Practice address

4400 Grant Blvd Ste 101
Yukon, OK 73099-0038

Phone

(405) 577-6775

Fax

(844) 908-1423

NPI assigned

Feb 8, 2021

Last updated

Feb 8, 2021By the provider in NPPES

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

Other identifiers 1

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

Locations

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.

• Apex Pharmacy LLC

  dba Apex Pharmacy

  • Community/Retail Pharmacy
  • Yukon, OK
  • NPI 1548872369
  NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1114519543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 GRANT BLVD STE 101",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990038",
            "telephone_number": "405-577-6775",
            "fax_number": "844-908-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 GRANT BLVD STE 101",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990038",
            "telephone_number": "405-577-6775",
            "fax_number": "844-908-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKARD",
        "first_name": "TYLER",
        "middle_name": "CHRISTIAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200925650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Kay Davis, OTR/L
• Teracia Davis
• Michael J Davoli II, MD
• Samantha Janelle Dawes, LPC-S
• David Deason
• Ali Lynann Decker
• Gabrielle Leigh Deleon
• Sandra Deloera
• Gregory J Dennis, DO
• Lydia J Dennis, DO

• Pharmacist in Yukon, OK
• Providers in Yukon, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.