Organization Active NPI

Tyle, LLC

Doing business as Ryals Drug Store

  • Community/Retail Pharmacy
  • McRae, GA
National Provider Identifier
1467889352
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TYLE, LLC
Doing business as
Ryals Drug Store
Practice address
12 S Second Ave
MC Rae, GA 31055-4659
Phone
(229) 868-6735
Fax
(229) 868-2611
NPI assigned
Oct 9, 2013
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hugh Lowell Yawn Jr., PHARMDNPI 1134543119
Title
Owner/Pic
Phone
(229) 318-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12 S Second Ave
MC Rae, GA 31055-4659

Mailing address

PO Box 209
MC Rae, GA 31055-0209
Phone (229) 868-6735

Other names 1

  • Ryals Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603001340 GA Part B Supplier - Mass Immunization (Roster Biller Only) 9436372869 Practice locations: MC Rae, GA

National Provider Directory

National Provider Directory

Locations

12 S Second Ave
Mc Rae Helena, GA 31055
Phone (229) 868-6735

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1467889352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310550209",
            "telephone_number": "229-868-6735",
            "fax_number": "229-868-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S SECOND AVE",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310554659",
            "telephone_number": "229-868-6735",
            "fax_number": "229-868-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "YAWN",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "229-318-9991",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryals Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McRae, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.