Active NPI
Tyler Nichole Westbrook, PHARMD
- Pharmacist
- Benton, AR
National Provider Identifier
1346438413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD10537
- Practice address
- 414 N Main St
Benton, AR 72015-3714 - Phone
- (501) 315-7700
- NPI assigned
- Oct 14, 2007
- Last updated
- Nov 13, 2007
- Sex
- Female
- 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 | PD10537 | AR | Primary |
Addresses
Primary practice location
414 N Main St
Benton, AR 72015-3714
Mailing address
414 N Main St
Benton, AR 72015-3714
Phone (501) 315-7700
Other names 1
- Tyler Nichole Shelnutt
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 |
|---|---|---|---|
| PD10537 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Caldwell Drug | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1346438413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N MAIN ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720153714",
"telephone_number": "501-315-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N MAIN ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720153714",
"telephone_number": "501-315-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTBROOK",
"first_name": "TYLER",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-14",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TYLER",
"last_name": "SHELNUTT",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Benton, AR
- West Side Pharmacy- Military Road LLC
- West Side Pharmacy, Inc. (West Side Clinical Services)
- West Side Pharmacy, Inc. (West Side Pharmacy)
- Christina Hyde West, MA CCC SLP
- Wendy M West, APN
- Kimberly Westbrooks, RECOVERY ASSISTANT
- Aurielle Dominique Westfall, RN
- Timothy Wheeler
- Teresa Michelle Whisenhunt
- Abby Whitaker, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.