Tyler Scott Green, RPH

Primary specialty

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

License

03442647 Issued in OH

Practice address

5800 W Broad St
Galloway, OH 43119-9531

Phone

(614) 870-4354

NPI assigned

Jan 9, 2023

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

Registered Pharmacist

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 and National Provider Directory roles.

• The Kroger Co

  • Community/Retail Pharmacy
  • Galloway, OH
  • NPI 1033143755
  NPD (past)
• The Kroger Co

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1164456968
  NPD (past)
• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1194439752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W BROAD ST",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199531",
            "telephone_number": "614-870-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W BROAD ST",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199531",
            "telephone_number": "614-870-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03442647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Alcala Galvan, PHARMD, RPH
• Carolina Deyanee Geigel
• Gifted Touch Home Care Solutions
• Joel Girard, PTA
• Alphonso Tamwien Godfrey
• Joshua Michael Halderman, D.D.S
• Hawo Hassan Hashi
• Noah Benjamin Dean Hensinger
• Brittany Hermiller
• Ardanna M Hessler

• All providers in Galloway, OH
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.