Tyler Boothe Ferguson, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS49513 Issued in FL

Practice address

14 W Jordan St
Pensacola, FL 32501-1736

Phone

(850) 433-2165

Fax

(850) 433-3401

NPI assigned

Dec 30, 2012

Last updated

Dec 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356825600000",
    "number": "1932445517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W JORDAN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011736",
            "telephone_number": "850-433-2165",
            "fax_number": "850-433-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W JORDAN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011736",
            "telephone_number": "850-433-2165",
            "fax_number": "850-433-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TYLER",
        "middle_name": "BOOTHE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-30",
        "last_updated": "2012-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Taylor Feltman, PA
• Delvon Ferguson, D.O.
• Emily Ferguson, LMFT
• Haley Ferguson, LPC
• Neina F Ferguson, PH.D., CCC-SLP
• Jose M Fernandez-Leon, MD
• Jose Teodoro Fernandez
• Merri-Alicia Fernandez
• Amber Fernbach, LCSW
• Azka Feroz, MD

• Pharmacist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; 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.