Active NPI
Christopher Jason Tyler, RPH
- Pharmacist
- Wetumka, OK
National Provider Identifier
1598046062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11878
- Practice address
- 209 S Main
Wetumka, OK 74883 - Phone
- (405) 452-3151
- Fax
- (405) 452-3379
- NPI assigned
- Aug 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11878 | OK | Primary |
Addresses
Primary practice location
209 S Main
Wetumka, OK 74883
Mailing address
PO Box 236
Wetumka, OK 74883
Phone (405) 452-5400
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 |
|---|---|---|---|
| 11878 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1598046062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "WETUMKA",
"state": "OK",
"postal_code": "74883",
"telephone_number": "405-452-5400",
"fax_number": "405-452-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S MAIN",
"city": "WETUMKA",
"state": "OK",
"postal_code": "74883",
"telephone_number": "405-452-3151",
"fax_number": "405-452-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "CHRISTOPHER",
"middle_name": "JASON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-29",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wetumka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.