Active NPI
John C Tyner, RPH
- Pharmacist
- Olive Branch, MS
National Provider Identifier
1669181699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-08541
- Practice address
- 5025 Highway 305 N
Olive Branch, MS 38654-3602 - Phone
- (662) 890-3548
- NPI assigned
- Nov 17, 2022
- Last updated
- Nov 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-08541 | MS | Primary |
Addresses
Primary practice location
5025 Highway 305 N
Olive Branch, MS 38654-3602
Mailing address
5025 Highway 305 N
Olive Branch, MS 38654-3602
Phone (662) 890-3548
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 |
|---|---|---|---|
| E-08541 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Mississippi CVS Pharmacy LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1669181699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 HIGHWAY 305 N",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543602",
"telephone_number": "662-890-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 HIGHWAY 305 N",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543602",
"telephone_number": "662-890-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNER",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-08541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
- True Alliance Home Healthcare, LLC
- Zachary Tulley, DPT
- Leon C Turner, NP
- Taderia J Twillie
- Twinkle Talk Therapy, LLC
- Uhs of Parkwood Inc (Parkwood Behavioral Health System)
- Uhs of Parkwood Inc (Parkwood Behavioral Health System)
- Uhs of Parkwood Inc (Parkwood Behavioral Health System)
- Unity Hospice Care, LLC
- Robin Van Nortwick, MA, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.