Active NPI
Tyler King, PHARMD
- Pharmacist
- Milton, VT
National Provider Identifier
1194404905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033.0135054
- Practice address
- 259 Route 7 S
Milton, VT 05468-3868 - Phone
- (802) 893-0714
- NPI assigned
- Jul 18, 2023
- Last updated
- Jul 18, 2023
- 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 | 033.0135054 | VT | Primary |
Addresses
Primary practice location
259 Route 7 S
Milton, VT 05468-3868
Mailing address
197 Pearl St Apt 416
Essex Junction, VT 05452-3064
Phone (315) 982-3014
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 |
|---|---|---|---|
| 033.0135054 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martins Foods of South Burlington LLC | Past | Accepting new patients | |
| Martin's Foods of South Burlington, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Hannaford Supermarket & Pharmacy
- Community/Retail Pharmacy
- Milton, VT
- NPI 1083046221
-
dba Hannaford Supermarket & Pharmacy
- Community/Retail Pharmacy
- Troy, NY
- NPI 1306574215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1194404905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 PEARL ST APT 416",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523064",
"telephone_number": "315-982-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 ROUTE 7 S",
"city": "MILTON",
"state": "VT",
"postal_code": "054683868",
"telephone_number": "802-893-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0135054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.