Active NPI
Sara Danielle Tyler, PHARMD
- Pharmacist
- Wetumpka, AL
National Provider Identifier
1669002176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22463
- Practice address
- 439 Waterview Dr
Wetumpka, AL 36092-7218 - Phone
- (334) 300-3059
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 22463 | AL | Primary |
Addresses
Primary practice location
439 Waterview Dr
Wetumpka, AL 36092-7218
Mailing address
439 Waterview Dr
Wetumpka, AL 36092-7218
Phone (334) 300-3059
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 |
|---|---|---|---|
| 22463 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1669002176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 WATERVIEW DR",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360927218",
"telephone_number": "334-300-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 WATERVIEW DR",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360927218",
"telephone_number": "334-300-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "SARA",
"middle_name": "DANIELLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AL",
"license": "22463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.