Active NPI
Tyler H Wood, PHARM.D.
- Pharmacist
- Alma, AR
National Provider Identifier
1487752689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD10199
- Practice address
- 18 Hwy 162 So
Alma, AR 72921-0168 - Phone
- (479) 632-2248
- Fax
- (479) 632-2386
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD10199 | AR | Primary |
| Nuclear Pharmacist | 1835N0905X | PD10199 | AR |
Addresses
Primary practice location
18 Hwy 162 So
Alma, AR 72921-0168
Mailing address
422 Mountain Edge
Van Buren, AR 72956-9041
Phone (479) 474-3906
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10199 | AR | MD | Nuclear Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Pharmacy of Alma Inc | Pharmacist | Past | Accepting new patients |
| Coleman Pharmacy of Crawford County Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacist
- Alma, AR
- NPI 1306942438
-
dba Coleman Pharmacy of Alma
- Community/Retail Pharmacy
- Alma, AR
- NPI 1295964047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1487752689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 MOUNTAIN EDGE",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729569041",
"telephone_number": "479-474-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HWY 162 SO",
"city": "ALMA",
"state": "AR",
"postal_code": "729210168",
"telephone_number": "479-632-2248",
"fax_number": "479-632-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "TYLER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10199",
"primary": true
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "AR",
"license": "PD10199",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alma, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.