Active NPI
Tyler Ronald Atkinson, PHARMD
- Pharmacist
- Glen Burnie, MD
National Provider Identifier
1255855326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25097
- Practice address
- 7400 Ritchie Hwy
Glen Burnie, MD 21061-3110 - Phone
- (612) 750-9625
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 25097 | MD | Primary |
Addresses
Primary practice location
7400 Ritchie Hwy
Glen Burnie, MD 21061-3110
Mailing address
662 Portland St
Baltimore, MD 21230-2220
Phone (612) 750-9625
Other practice location 1
8124 Veterans Hwy
Millersville, MD 21108-1412
Phone (612) 750-9625
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 |
|---|---|---|---|
| 25097 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1255855326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 PORTLAND ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212302220",
"telephone_number": "612-750-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613110",
"telephone_number": "612-750-9625"
}
],
"practiceLocations": [
{
"address_1": "8124 Veterans Hwy",
"address_purpose": "LOCATION",
"city": "Millersville",
"state": "MD",
"postal_code": "211081412",
"country_code": "US",
"telephone_number": "612-750-9625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATKINSON",
"first_name": "TYLER",
"middle_name": "RONALD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MD",
"license": "25097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.