Active NPI
Tyler S Sanders, RPH
- Pharmacist
- Spokane Valley, WA
National Provider Identifier
1467927913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60867743
- Practice address
- 5601 E Sprague Ave
Spokane Valley, WA 99212-0826 - Phone
- (509) 842-0002
- Fax
- (509) 842-0009
- NPI assigned
- Oct 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 60867743 | WA | Primary |
Addresses
Primary practice location
5601 E Sprague Ave
Spokane Valley, WA 99212-0826
Mailing address
5601 E Sprague Ave
Spokane Valley, WA 99212-0826
Phone (509) 842-0002
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60867743 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654300800000",
"number": "1467927913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 E SPRAGUE AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992120826",
"telephone_number": "509-842-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 E SPRAGUE AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992120826",
"telephone_number": "509-842-0002",
"fax_number": "509-842-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "TYLER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-11",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60867743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.