Active NPI
Tyler Cole
- Pharmacist
- Shawnee, OK
National Provider Identifier
1205302957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17842
- Practice address
- 1427 N Harrison Ave
Shawnee, OK 74801-5245 - Phone
- (405) 273-8520
- NPI assigned
- Oct 21, 2018
- 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 | 17842 | OK | Primary |
Addresses
Primary practice location
1427 N Harrison Ave
Shawnee, OK 74801-5245
Mailing address
1427 N Harrison Ave
Shawnee, OK 74801-5245
Phone (405) 273-8520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17842 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540080000000",
"number": "1205302957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 N HARRISON AVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748015245",
"telephone_number": "405-273-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 N HARRISON AVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748015245",
"telephone_number": "405-273-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-21",
"last_updated": "2018-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.