Active NPI
Tyler John Kaliszak, PHARMD
- Pharmacist
- Madison, AL
National Provider Identifier
1184564361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23779
- Practice address
- 12070 County Line Rd Ste 3
Madison, AL 35756-2000 - Phone
- (256) 230-2631
- NPI assigned
- Mar 30, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 23779 | AL | Primary |
Addresses
Primary practice location
12070 County Line Rd Ste 3
Madison, AL 35756-2000
Mailing address
238 Avian LN
Madison, AL 35758-6860
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 |
|---|---|---|---|
| 23779 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1184564361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 AVIAN LN",
"city": "MADISON",
"state": "AL",
"postal_code": "357586860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12070 COUNTY LINE RD STE 3",
"city": "MADISON",
"state": "AL",
"postal_code": "357562000",
"telephone_number": "256-230-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALISZAK",
"first_name": "TYLER",
"middle_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "23779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.