Tyler Branson, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

051.299721 Issued in IL

Practice address

14169 S Bell Rd
Homer Glen, IL 60491-8464

Phone

(708) 645-5810

Fax

(708) 645-5865

NPI assigned

Oct 22, 2016

Last updated

Oct 22, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1346791548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 WILLOW TERRACE DR",
            "address_2": "APT 2110",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604877489",
            "telephone_number": "309-299-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14169 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918464",
            "telephone_number": "708-645-5810",
            "fax_number": "708-645-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "TYLER",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "051.299721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Booth Orthodontics of Homer Glen LLP
• Barry E Booth, D.D.S., M.S.
• Evan Booth, DDS
• Ryan Elston Booth, DDS
• Nicole Eileen Boswell, MA, LPC, NCC
• Brenczewski Physical Therapy
• Edward J. Brennan, D.D.S.
• Derek Brown, PHARMD
• Maria Teresa Brutus
• Diana M Burda, MD

• Pharmacotherapy Pharmacist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Pharmacotherapy Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.