Tyler Black, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2979 Issued in HI

Practice address

47-388 Hui Iwa St
Kaneohe, HI 96744-4428

Phone

(808) 239-3204

NPI assigned

Jun 7, 2020

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

Electronic endpoints 1

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": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1356965115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-388 HUI IWA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444428",
            "telephone_number": "808-239-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-388 HUI IWA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444428",
            "telephone_number": "808-239-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "2979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "enterpriserx",
            "affiliation": "N",
            "endpointDescription": "pharmacy operating system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pharmacy operating system",
            "address_1": "47-388 Hui Iwa St",
            "city": "Kaneohe",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967444428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• BF Integrity Care
• James Lyle Bibb, PHD
• Anaizah Gerona Bickley
• Bio-Medical Applications of California Inc
• Bio-Medical Applications of California, Inc.
• Avalon Blake, RN
• Lahelaho'Opomaika'I Blake, APRN-RX
• Jennifer D. Bojanowski, MSW, MS, CGC
• Deborah Elaine Boltz, M. ED., MSCP
• Carlyn Bonilla, LCSW

• Pharmacist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; 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.