Active NPI
Tyler John Schultz, PHARM D.
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1881036614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121274
- Practice address
- 900 Nicollet Mall
Minneapolis, MN 55403-2530 - Phone
- (612) 338-0085
- NPI assigned
- Jul 22, 2013
- 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 | 121274 | MN | Primary |
Addresses
Primary practice location
900 Nicollet Mall
Minneapolis, MN 55403-2530
Mailing address
16600 92ND Ave N
Apartment 120
Maple Grove, MN 55311-5445
Phone (701) 741-3047
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 |
|---|---|---|---|
| 121274 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1881036614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16600 92ND AVE N",
"address_2": "APARTMENT 120",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553115445",
"telephone_number": "701-741-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NICOLLET MALL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032530",
"telephone_number": "612-338-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "TYLER",
"middle_name": "JOHN",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.