Individual provider Active NPI

Rachel Rani Tyler, PHARMD

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1548886807
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17097 Issued in NE
Practice address
17909 Burke St
Omaha, NE 68118-2252
Phone
(402) 289-0808
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23769 IA
Pharmacist 183500000X 17097 NE Primary

Addresses

Primary practice location

17909 Burke St
Omaha, NE 68118-2252

Mailing address

17909 Burke St
Omaha, NE 68118-2252
Phone (402) 289-0808

Other practice location 1

1703 Park Ave
Muscatine, IA 52761-5435
Phone (563) 263-2724

Other practice location 2

4001 N 132nd St
Omaha, NE 68164-1839
Phone (402) 431-9161

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

LicenseStateTypeSpecialty
23769IAMDPharmacist
17097NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 8, 2023 Accepting new patients
Walgreen Co PastSince Oct 8, 2023 Accepting new patients

Locations

17909 Burke St
Omaha, NE 68118
Phone (402) 289-0808

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1548886807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17909 BURKE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182252",
            "telephone_number": "402-289-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17909 BURKE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182252",
            "telephone_number": "402-289-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527615435",
            "country_code": "US",
            "telephone_number": "563-263-2724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 N 132nd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681641839",
            "country_code": "US",
            "telephone_number": "402-431-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "RACHEL",
        "middle_name": "RANI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23769",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "17097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.