DR. TYLER ANTHONY FREDERICK (NPI# 1427692425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427692425 |
| Entity Type | Individual |
| Full Name | DR. TYLER ANTHONY FREDERICK |
| Credential | PHARMD |
| Practice Address |
102 W Main St Warsaw KY 41095-9300 |
| Mailing Address |
5202 Eagles Peak Way Apt 204 Louisville KY 40241-1389 |
| Practice Telephone | 8595674601 |
| Mailing Telephone | 5027440099 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 020737 | KY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF PHARMACY | 020737 | 01 |
| KY | KENTUCKY DRIVER'S LICENSE | F11-171-186 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1955 Hwy 227, Carrollton, KY 410088037 | 5027324331 | |
| 325 Highway 42 E, Bedford, KY 400067624 | 5022553540 |
| Street Address |
102 W MAIN ST |
| City | WARSAW |
| State | KY |
| Zip Code | 41095-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206263 | Qmp Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 W Main St, Suite B, Warsaw, KY 41095-9300 | 2011-12-20 |
| 1598890865 | Healthline Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 W Main St, Suite B, Warsaw, KY 41095 | 2007-02-23 |
| 1841276789 | Healthline Pharmacy, LLC | Pharmacy | 102 W Main St, Suite B, Warsaw, KY 41095-9300 | 2005-12-22 |
| 1538145461 | Home Pharmacy Solutions, LLC | Pharmacy | 102 W Main St, Suite C, Warsaw, KY 41095-9300 | 2005-12-22 |
| 1962488700 | Beringer Drug Store, Inc. | Pharmacy | 102 W Main St, Suite A, Warsaw, KY 41095-9300 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346382942 | Richard J Ackermann | Dentist | 100 W High St, Warsaw, KY 41095 | 2007-02-12 |
| 1275691784 | Foot Specialists of Greater Cincinnati | Podiatrist | 300 Main Cross, Warsaw, KY 41095 | 2006-12-05 |
| 1598798407 | Ccmh Corporation | Family Medicine | 202 Franklin Street, Warsaw, KY 41095 | 2006-07-07 |
| 1184681686 | Gallatin County Fiscal Court | Ambulance | 400 Main Cross, Warsaw, KY 41095 | 2006-04-27 |
| 1780652750 | Eric William Schneeberger | General Practice | 441 Hwy 42w, Warsaw, KY 41095 | 2006-03-08 |
| 1174594865 | Leslie Jo Cooper | Nurse Practitioner | 302 West Main St, Warsaw, KY 41095 | 2006-01-30 |
| 1619440070 | Angela Harmon | Nurse Practitioner | 202 Franklin Street, Warsaw, KY 41095 | 2019-01-09 |
| 1215313036 | Jasmine Birchall | Nurse Practitioner | 441 Hwy 42w, Warsaw, KY 41095 | 2015-08-04 |
| 1164847562 | Rhonda Moore | Nurse Practitioner | 202 Franklin Street, Warsaw, KY 41095 | 2014-02-22 |
| 1124309943 | Warsaw Family Medicine | Family Medicine | 302 West Main Street, Warsaw, KY 41095 | 2011-09-07 |
| Find all providers in zip 41095 | ||||
| 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 |
|---|---|---|---|---|
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1326338229 | Ginger Steele Branscomb | Pharmacist | 4672 Richmond Road, Warsaw, VA 22572-1298 | 2011-04-12 |
| 1912206160 | Beshoui W Amin | Pharmacist | 4671 Richmond Rd, Warsaw, VA 22572-3137 | 2011-03-26 |
| 1457670325 | Dennis L. Mock | Pharmacist | 918 East Fort Wayne Street, Warsaw, IN 46580-3435 | 2010-05-18 |
| 1629391297 | Allan Herbison Smith | Pharmacist | 2348 Rt.19, Warsaw, NY 14569-9735 | 2010-03-10 |
| 1225120983 | Roxanne T Whalen | Pharmacist | 2280 Provident Ct Ste D, Warsaw, IN 46580-3284 | 2006-09-29 |
| 1912004326 | Jacqueline Ann Lowe | Pharmacist | 500 S Buffalo St, Warsaw, IN 46580-4307 | 2006-09-20 |
| 1144325200 | Denise Lynn Schue | Pharmacist | 2306 Dubois Drive, Warsaw, IN 46580 | 2006-09-13 |
| 1073562880 | Tera A. Teachout | Pharmacist | 2280 Provident Ct, Ste D, Warsaw, IN 46580-3284 | 2006-05-09 |
| 1740238138 | Krissa J Crawford | Pharmacist | 2211 E Center St, Warsaw, IN 46580-3719 | 2006-05-05 |
| Find all providers in WARSAW | ||||
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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.