Tyler Carl Higgins, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P5676 Issued in ID

Practice address

315 E Elm St
Suite 150
Caldwell, ID 83605-4857

Phone

(208) 459-1503

Fax

(208) 459-1504

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Clinic Pharmacy Inc

  dba Medical Clinic Pharmacy

  • Community/Retail Pharmacy
  • Caldwell, ID
  • NPI 1962581652
  NPD Authorized official
• Tynlo LLC

  dba Healthy Balance Direct Care

  • Health Service Clinic/Center
  • Caldwell, ID
  • NPI 1972352870
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740312859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 BIG CREEK CIR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868058",
            "telephone_number": "208-467-1335",
            "fax_number": "208-459-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ELM ST",
            "address_2": "SUITE 150",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054857",
            "telephone_number": "208-459-1503",
            "fax_number": "208-459-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "TYLER",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Alfredo Hernandez, LMSW, QSUDP
• Herrin Chiropractic LLC (Treasure Valley Chiropractic Spine Management)
• David C Herrin, D.C.
• Whitney M Herter, LCPC
• Patrick Omura Hessler, DPT
• High Desert Wound Care and Hyperbarics PLLC
• Higher Ground Laboratory LLC
• Higher Ground Retreat, LLC
• Amy Hilderbrand, LMSW
• Hunter Hill, PMHNP

• Pharmacist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.