Tyler David Scarborough, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS56450 Issued in FL

Practice address

84 Tuscan Way
St Augustine, FL 32092-1831

Phone

(904) 940-2894

NPI assigned

Aug 20, 2017

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

Doctor of Pharmacy

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.

• Publix Super Markets Inc

  • Pharmacy
  • St Augustine, FL
  • NPI 1700021144
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503187200000",
    "number": "1336665405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8234 LAKEMONT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165497",
            "telephone_number": "352-317-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 TUSCAN WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921831",
            "telephone_number": "904-940-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "TYLER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-20",
        "last_updated": "2017-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS56450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Arnold Sappington III, PSYCHOLOGIST
• Larry Charles Sargent, MA
• Aurealyn Frendol Sarker, NP
• Jill E. Saunders, PHARM.D.
• Frances Valerie Saxenberg, LCSW
• Jacob Scarbrough
• Kara Scarbrough, LCSW-C
• Josette Scarpa
• SCG Coral Landing, LLC
• SCG Coral Landing, LLC

• Pharmacist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; 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.