Tyler Reid Walsh, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PD15006 Issued in AR

Practice address

1120 E German LN
Conway, AR 72032-4555

Phone

(501) 329-3733

NPI assigned

Feb 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harps Food Stores, Inc

  • Community/Retail Pharmacy
  • Conway, AR
  • NPI 1881909638
  NPD
• Harps Food Stores, Inc

  • Community/Retail Pharmacy
  • Springdale, AR
  • NPI 1235239559
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1902438484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E GERMAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324555",
            "telephone_number": "501-329-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E GERMAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324555",
            "telephone_number": "501-329-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "TYLER",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "PD15006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamylyn Walls
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Abigail Joette Walter
• Jordan Matthew Walters
• Anna M Walthall, SPEECH PATHOLOGIST
• Whitli Walthall
• Chelsea Leeann Walton-Conner, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Conway, AR
• Providers in Conway, AR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.