Active NPI
Joseph Tyler, RPH
- Pharmacist
- Petersburg, VA
National Provider Identifier
1982487443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202220168
- Practice address
- 2100 S Crater Rd
Petersburg, VA 23805-2702 - Phone
- (804) 895-3119
- NPI assigned
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202220168 | VA | Primary |
Addresses
Primary practice location
2100 S Crater Rd
Petersburg, VA 23805-2702
Mailing address
18116 Whipponock Way
Sutherland, VA 23885-8779
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202220168 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1982487443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18116 WHIPPONOCK WAY",
"city": "SUTHERLAND",
"state": "VA",
"postal_code": "238858779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S CRATER RD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238052702",
"telephone_number": "804-895-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.