Tyler Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

40-3422 Issued in OK

Legal business name

TYLER DRUG

Doing business as

Tyler Drug

Practice address

105 N Main St
Wetumka, OK 74883-3028

Phone

(405) 452-3203

Fax

(405) 452-3352

NPI assigned

Nov 8, 2006

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howard Tyler, RPH

Title

General Partner

Phone

(405) 452-3203

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TYLER DRUG Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1861562944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748833028",
            "telephone_number": "405-452-3203",
            "fax_number": "405-452-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748833028",
            "telephone_number": "405-452-3203",
            "fax_number": "405-452-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "405-452-3203",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "40-3422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236560A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TYLER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Wetumka, OK
• Providers in Wetumka, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.