DR. TYLER BLACK (NPI# 1356965115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356965115 |
| Entity Type | Individual |
| Full Name | DR. TYLER BLACK |
| Credential | PHARMD |
| Practice Address |
47-388 Hui Iwa St Kaneohe HI 96744-4428 |
| Practice Telephone | 8082393204 |
| Mailing Telephone | 8082393204 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2979 | HI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665815 | Tyler Black | Pharmacist | 320 Parkview Ave, Reading, PA 19606 | 2016-08-31 |
| 1033569629 | Tyler Black | Anesthesiology | 501 20th St Ste 606, Knoxville, TN 37916-1863 | 2016-06-15 |
| 1669762761 | Tyler Paul Black | Internal Medicine | 2301 Erwin Rd, Durham, NC 27705-4699 | 2011-04-11 |
| 1164683033 | Tyler Black | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2008-06-23 |
| Street Address |
47-388 HUI IWA ST |
| City | KANEOHE |
| State | HI |
| Zip Code | 96744-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518094713 | Jason Revestir | Dentist | 47-388 Hui Iwa St, Kaneohe, HI 96744-4428 | 2007-02-27 |
| 1851827570 | Edward Tyler | Physical Therapist | 47-388 Hui Iwa St, Ste 21b, Kaneohe, HI 96744-4416 | 2017-05-02 |
| 1871869388 | Dialysis Newco Inc | Clinic/Center | 47-388 Hui Iwa St, Kaneohe, HI 96744-4428 | 2012-03-29 |
| 1720350499 | Windward Family Wellness Center | Physical Therapist | 47-388 Hui Iwa St, Suite 16, Kaneohe, HI 96744-4428 | 2012-01-27 |
| 1508043795 | Bio-medical Applications of California Inc | Clinic/Center | 47-388 Hui Iwa St, Kaneohe, HI 96744-4416 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820026 | Kathleen Rhoads Merriam | Counselor | Wiindward Oahu Treatment Services Section, 45-691 Keaahala Road, Bldg. F, Kaneohe, HI 96744 | 2020-01-14 |
| 1760945430 | Claudia Isabella Sema | Counselor | Hina Mauka, 47-333 Hui Iwastreet, Suite # 11, Kaneohe, HI 96744 | 2019-04-10 |
| 1497217251 | The Evangelical Lutheran Good Samaritan Society | In Home Supportive Care | 45-090 Namoku St. Cottage H, Kaneohe, HI 96744 | 2019-04-02 |
| 1386117778 | Kasse-ann Akemi Kiriu-dela Cruz | Behavior Technician | 45-955 Kamehameha Hwy., Kaneohe, HI 96744 | 2019-01-08 |
| 1689177826 | Alexander P Dunnum | Military Hospital | 1/12 Battalion Aid Station, 6894r Selby St, Kaneohe, HI 96744 | 2018-03-14 |
| 1225545056 | Corinna Aquino | Behavior Technician | 95-955 Kamehameha Hwy., #404, Kaneohe, HI 96744 | 2018-01-02 |
| 1861901704 | Jayna L. Chung, D.d.s. | Dentist | 46-001 Kamehamcha Hwy Suite 418, Kaneohe, HI 96744 | 2017-09-22 |
| 1366981938 | Andrew Ho'ola'iku Johnson | Dentist | 45-943 Kamehameha Hwy Ste 201, Kaneohe, HI 96744 | 2017-02-15 |
| 1669829099 | William Robert Sicilia | Student in an Organized Health Care Education/Training Program | 46-056 Kamehameha Highway, Suite 288, Kaneohe, HI 96744 | 2016-05-16 |
| 1558729434 | Douglas Frisbie | Marriage & Family Therapist | 45-21 Likeke Place, Kaneohe, HI 96744 | 2016-02-05 |
| Find all providers in zip 96744 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166706 | Derek Ren Okamura | Pharmacist | 45-934 Kamehameha Hwy, Kaneohe, HI 96744-3243 | 2019-10-27 |
| 1578062865 | Tiffany Mizo | Pharmacist | 47-047 Kamehameha Hwy, Kaneohe, HI 96744-4731 | 2018-02-02 |
| 1386152585 | Betsy Lu | Pharmacist | 46-047 Kamehameha Hwy Ste C, Kaneohe, HI 96744-3736 | 2018-01-22 |
| 1649584988 | Lucinda Kamiko Iverson | Pharmacist | 44-181 Laha St Apt 6, Kaneohe, HI 96744-2619 | 2010-07-28 |
| 1881737971 | Peter K Lee | Pharmacist | 45 123 Alina Place, Kaneohe, HI 96744-3001 | 2007-02-15 |
| 1891797684 | Tony L Nguyen | Pharmacist | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 | 2005-08-11 |
| 1619437662 | Alexander Anthony Poppen | Pharmacist | 45-480 Kaneohe Bay Dr, Kaneohe, HI 96744-2039 | 2019-03-24 |
| 1215438684 | Kelsey K Chang | Pharmacist | 45-480 Kaneohe Bay Dr, Kaneohe, HI 96744-2039 | 2018-02-21 |
| 1932608221 | Ryan Wade Ikaika Nishikawa | Pharmacist | 46-047 Kamehameha Hwy Ste C, Kaneohe, HI 96744-3736 | 2018-02-02 |
| 1497254643 | Helean Wakukawa | Pharmacist | 46-047 Kamehameha Hwy Ste C, Kaneohe, HI 96744-3736 | 2018-02-02 |
| Find all providers in KANEOHE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.