Active NPI
Tyler Bertsch
- Pharmacist
- Longmont, CO
National Provider Identifier
1437686151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21293
- Practice address
- 1630 Pace St
Longmont, CO 80504-2119 - Phone
- (303) 485-9700
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Sex
- Male
- 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 | 21293 | CO | Primary |
Addresses
Primary practice location
1630 Pace St
Longmont, CO 80504-2119
Mailing address
1630 Pace St
Longmont, CO 80504-2119
Phone (303) 485-9700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21293 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County Drug | Current | Accepting new patients | |
| Deadwood Drug Inc | Current | Accepting new patients | |
| County Drug Inc | Current | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Sturgis, SD
- NPI 1043252828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1437686151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 PACE ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805042119",
"telephone_number": "303-485-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 PACE ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805042119",
"telephone_number": "303-485-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCH",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "21293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
- Stephanie Berry-Carter
- Kimberly Schorer Bertele, MS, OTR
- Chelsea L Berthold, M.S. OTR/L
- Denise Marie Bertrand-Lovato, LCSW
- Ashlyn Taylor Bertrand, LMT
- Scott David Best, MA, LPC, CAC III
- Beth Hale Counseling, LLC
- Bethesda Home Respiratory Services
- Bethesda Home Respiratory Services Inc
- Carol Christine Bettridge, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.