Active NPI
Tyler Sanders, PHARMD
- Pharmacist
- Bowling Green, KY
National Provider Identifier
1902321292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019468
- Practice address
- 2385 Nashville Rd
Bowling Green, KY 42101-4144 - Phone
- (270) 393-8979
- NPI assigned
- Aug 7, 2017
- Last updated
- Aug 7, 2017
- 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 | 019468 | KY | Primary |
Addresses
Primary practice location
2385 Nashville Rd
Bowling Green, KY 42101-4144
Mailing address
954 Aristides Dr
Bowling Green, KY 42104-7434
Phone (901) 488-6985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019468 | Other | KY | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 019468 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1902321292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 ARISTIDES DR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047434",
"telephone_number": "901-488-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014144",
"telephone_number": "270-393-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "019468",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.