Tyler Alan Bailey, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0011716 Issued in WV

Practice address

700 Professional Park Dr
Summersville, WV 26651-2000

Phone

(304) 872-4980

NPI assigned

Oct 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1477150241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SILVER MAPLE RDG APT 14",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253061147",
            "telephone_number": "304-881-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PROFESSIONAL PARK DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512000",
            "telephone_number": "304-872-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TYLER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "RP0011716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Michelle Askew
• Mary Elizabeth Auxier
• Natalie Auxier, LPN
• Michael Anthony Avery
• Angela Dawn Bailes
• Dakota Baker
• Rachel Balcourt, APRN
• Susan P Baldwin
• Jessica Barkley
• Rachel Rena Barnhouse

• Community/Retail Pharmacy in Summersville, WV
• Providers in Summersville, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.