Individual provider Active NPI

Tyler James Wright, PHARMD

  • Pharmacist
  • Endwell, NY
National Provider Identifier
1316723828
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
070523I Issued in NY
Practice address
511 Hooper Rd
Endwell, NY 13760-1907
Phone
(607) 754-6880
NPI assigned
Aug 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 070523I NY Primary

Addresses

Primary practice location

511 Hooper Rd
Endwell, NY 13760-1907

Mailing address

511 Hooper Rd
Endwell, NY 13760-1907

Other practice location 1

511 Hooper Rd
Endwell, NY 13760-1907
Phone (607) 754-6880

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
070523INYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1316723828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137601907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137601907",
            "telephone_number": "607-754-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Hooper Rd",
            "address_purpose": "LOCATION",
            "city": "Endwell",
            "state": "NY",
            "postal_code": "137601907",
            "country_code": "US",
            "telephone_number": "607-754-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070523I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endwell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.