Individual provider Active NPI

Tyler Hewitt

  • Pharmacist
  • Carrington, ND
National Provider Identifier
1801247143
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH5864 Issued in ND
Practice address
990 Main St
Carrington, ND 58421-2024
Phone
(701) 652-2651
Fax
(701) 652-1882
NPI assigned
Jun 28, 2016
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH5864 ND Primary

Addresses

Primary practice location

990 Main St
Carrington, ND 58421-2024

Mailing address

990 Main St
Carrington, ND 58421-2024

Other practice location 1

901 Burrel Ave SE
Cooperstown, ND 58425-0627
Phone (701) 797-2414

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

State licenses

LicenseStateTypeSpecialty
RPH5864NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacists Associates LLC Past Accepting new patients
Pharmacists Associates LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: centralpharmacycgtn@centralpharmacy.libertysoftwaredirect.com
  • Direct secure messaging: tyler.hewitt@centralpharmacynr.libertysoftwaredirect.com

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1801247143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212024",
            "telephone_number": "701-652-2651",
            "fax_number": "701-652-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Burrel Ave SE",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "ND",
            "postal_code": "584250627",
            "country_code": "US",
            "telephone_number": "701-797-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrington, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.