Individual provider Active NPI

Tyler Veno, PHARMD

  • Pharmacist
  • Monroe, CT
National Provider Identifier
1265810790
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0012906 Issued in CT
Practice address
435 Main St
Rite Aid Pharmacy
Monroe, CT 06468-1151
Phone
(203) 261-6493
NPI assigned
May 17, 2015
Last updated
May 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0012906 CT Primary

Addresses

Primary practice location

435 Main St
Rite Aid Pharmacy
Monroe, CT 06468-1151

Mailing address

435 Main St
Rite Aid Pharmacy
Monroe, CT 06468-1151

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

LicenseStateTypeSpecialty
0012906CTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431820800000",
    "number": "1265810790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MAIN ST",
            "address_2": "RITE AID PHARMACY",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MAIN ST",
            "address_2": "RITE AID PHARMACY",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681151",
            "telephone_number": "203-261-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENO",
        "first_name": "TYLER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0012906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; 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.