Benjamin Michael Tylicki, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03438744 Issued in OH

Practice address

5461 New Albany Rd W
New Albany, OH 43054-8221

Phone

(614) 939-4102

Fax

(614) 939-4107

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 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

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.

• The Tamarkin Company

  dba Giant Eagle Pharmacy #6528

  • Community/Retail Pharmacy
  • New Albany, OH
  • NPI 1568653392
  NPD (past)
• The Tamarkin Company

  dba Giant Eagle Pharmacy #4093

  • Community/Retail Pharmacy
  • Erie, PA
  • NPI 1427063353
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1124780457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 NEW ALBANY RD W",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548221",
            "telephone_number": "614-939-4102",
            "fax_number": "614-939-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 NEW ALBANY RD W",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548221",
            "telephone_number": "614-939-4102",
            "fax_number": "614-939-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLICKI",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03438744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bollman Toure, MPT
• Jenifer Jo Travis, LPN
• Trilogy Healthcare of Franklin III, LLC (Smith's Mill Health Campus)
• Bobby Lee Tucker II, LMT
• Tamara Tuttle, MSW, LISW-S
• Amanda Umstot
• Unity Health Care Services
• Ifeoma M Uzoh-Anigbogu, FNP, PMHNP, RN
• Anne-Claire Marie-France Van Aken
• Vessels Counseling Consultants LLC

• Pharmacist in New Albany, OH
• Providers in New Albany, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.