Active NPI
Tyler Mohr, PHARM. D.
- Pharmacist
- Killeen, TX
National Provider Identifier
1801189147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51091
- Practice address
- 2201 S Clear Creek Rd
Pharmacy Department-507
Killeen, TX 76549-4110 - Phone
- (254) 519-8267
- NPI assigned
- May 19, 2011
- 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 | 51091 | TX | Primary |
Addresses
Primary practice location
2201 S Clear Creek Rd
Pharmacy Department-507
Killeen, TX 76549-4110
Mailing address
139 Joshua Dr
Georgetown, TX 78633-1857
Phone (936) 552-9119
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 |
|---|---|---|---|
| 51091 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1801189147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 JOSHUA DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786331857",
"telephone_number": "936-552-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S CLEAR CREEK RD",
"address_2": "PHARMACY DEPARTMENT-507",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494110",
"telephone_number": "254-519-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "TYLER",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-19",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.