Active NPI
Tyler S Beveridge, PHARMD
- Pharmacist
- Gig Harbor, WA
National Provider Identifier
1669849949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60583539
- Practice address
- 4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711 - Phone
- (235) 851-6939
- NPI assigned
- Aug 21, 2015
- 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 | PH60583539 | WA | Primary |
Addresses
Primary practice location
4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711
Mailing address
6563 McDonald Ave
Apt 300
Gig Harbor, WA 98335-1395
Phone (801) 678-3937
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 |
|---|---|---|---|
| PH60583539 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1669849949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6563 MCDONALD AVE",
"address_2": "APT 300",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351395",
"telephone_number": "801-678-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 POINT FOSDICK DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351711",
"telephone_number": "235-851-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERIDGE",
"first_name": "TYLER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-21",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60583539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.