Active NPI
Tyler Edward Dinkelaker, PHARM.D.
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1629482120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2013020272
- Practice address
- 1501 Locust St Apt 705
Saint Louis, MO 63103-1845 - Phone
- (513) 319-7808
- NPI assigned
- Jun 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013020272 | MO | Primary |
| Pharmacist | 183500000X | 03233091 | OH |
Addresses
Primary practice location
1501 Locust St Apt 705
Saint Louis, MO 63103-1845
Mailing address
1501 Locust St Apt 705
Saint Louis, MO 63103-1845
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 |
|---|---|---|---|
| 2013020272 | MO | MD | Pharmacist |
| 03233091 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1629482120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 LOCUST ST APT 705",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 LOCUST ST APT 705",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031845",
"telephone_number": "513-319-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINKELAKER",
"first_name": "TYLER",
"middle_name": "EDWARD",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013020272",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03233091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.