Tyler Phillip Burns
Individual provider Active NPI Pharmacist · Bell, FL
NPI 1942070693 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1942070693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS42964 (FL)
- Practice address
- 1830 N Main St
Bell, FL 32619-4713 - Phone
- (352) 463-0400
- NPI assigned
- Jan 4, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42964 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42964 | FL | Yes |
Addresses
Primary practice location
1830 N Main St
Bell, FL 32619-4713
Mailing address
1830 N Main St
Bell, FL 32619-4713
Phone (352) 463-0400
Other providers in Bell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.