Tyler Anthony Frederick, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

020737 Issued in KY

Practice address

3675 Dolson CT
Carroll, OH 43112-9721

Phone

(877) 816-0942

NPI assigned

Nov 1, 2019

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

Other identifiers 2

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.

• Beringer Drug Store, Inc.

  • Pharmacy
  • Warsaw, KY
  • NPI 1962488700
  NPD (past)
• Bluegrass Drug Center Inc

  • Community/Retail Pharmacy
  • Carrollton, KY
  • NPI 1083159677
  NPD (past)

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1427692425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WEDGEWOOD TER",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826000",
            "telephone_number": "502-744-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 DOLSON CT",
            "city": "CARROLL",
            "state": "OH",
            "postal_code": "431129721",
            "telephone_number": "877-816-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "TYLER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "020737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF PHARMACY",
            "identifier": "020737",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY DRIVER'S LICENSE",
            "identifier": "F11-171-186",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Dodds, M.A. CCC-SLP
• Catherine Elizabeth Doyle-Haigh, PT
• Embrace Healthcare
• Dana Jean Evans, LPN
• Fairfield Healthcare Professionals Inc
• Brenda Marie George, OTR/L
• Tammy Iris Gibson
• Matthew Kent Graham, DPT
• Greenfield Township
• Greenfield Township Trustees

• Pharmacist in Carroll, OH
• Providers in Carroll, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.