TYLER ELLERBROCK (NPI# 1568014496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568014496 |
| Entity Type | Individual |
| Full Name | TYLER ELLERBROCK |
| Practice Address |
130 S Detroit St Kenton OH 43326-1902 |
| Mailing Address |
502 Jackson St Wapakoneta OH 45895-1420 |
| Practice Telephone | 4196735220 |
| Mailing Telephone | 4198908936 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03438649 | OH | Pharmacy Service Providers |
| Street Address |
130 S DETROIT ST |
| City | KENTON |
| State | OH |
| Zip Code | 43326-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902938905 | Sarah Ann Barry | Pharmacist | 130 S Detroit St, Kenton, OH 43326-1902 | 2007-03-12 |
| 1538572912 | Cassandra Rae Roach | Pharmacist | 130 S Detroit St, Kenton, OH 43326-1902 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660337 | Tyler Shafer | Licensed Practical Nurse | 440 Center Street, Kenton, OH 43326 | 2018-02-27 |
| 1669981379 | Megan Renee Webb | Specialist/Technologist | 8140 County Road 215, Kenton, OH 43326 | 2017-09-26 |
| 1336665926 | Gwilym Stumpp | Physical Therapist | 1121 W Lima St., Kenton, OH 43326 | 2017-08-16 |
| 1700308152 | Shelby Ruhlen | Counselor | 775 E Eliza St, Kenton, OH 43326 | 2017-07-07 |
| 1730530247 | Sheri Singer | Pharmacist | 931 Franklin Street, Kenton, OH 43326 | 2016-06-27 |
| 1356744007 | Kathie J Phillips | Massage Therapist | 918 West Franklin St, Kenton, OH 43326 | 2014-10-08 |
| 1831386143 | Assisted Living Concepts Inc | Assisted Living Facility | 825 Richard Lane, Kenton, OH 43326 | 2007-10-01 |
| 1346390150 | Jay E Pfeiffer | Family Medicine | 15230 St Rt 309e, Kenton, OH 43326 | 2007-01-12 |
| 1811079361 | Wal-mart Stores East, Lp | Technician/Technologist | 1241 E. Columbus St., Kenton, OH 43326 | 2006-10-20 |
| 1023116100 | Megan Marie Pritchard-snyder | Optometrist | 1241 East Columbus Street, Kenton, OH 43326 | 2006-09-20 |
| Find all providers in zip 43326 | ||||
| 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 |
|---|---|---|---|---|
| 1730530247 | Sheri Singer | Pharmacist | 931 Franklin Street, Kenton, OH 43326 | 2016-06-27 |
| 1154643930 | Franklin W Fox | Pharmacist | 1005 E Columbus St, Kenton, OH 43326-1679 | 2010-02-22 |
| 1902938905 | Sarah Ann Barry | Pharmacist | 130 S Detroit St, Kenton, OH 43326-1902 | 2007-03-12 |
| 1568413805 | Richard D. Skiles Jr. | Pharmacist | 116 E College St, Kenton, TN 38233-1336 | 2006-05-12 |
| 1407456015 | Danielle Swavel | Pharmacist | 1241 E Columbus St, Kenton, OH 43326-1750 | 2020-11-01 |
| 1679173868 | Heather Houser | Pharmacist | 1241 E Columbus St, Kenton, OH 43326-1750 | 2020-10-28 |
| 1750981247 | Lisa Anne Scheckelhoff | Pharmacist | 1241 E Columbus St, Kenton, OH 43326-1750 | 2020-10-26 |
| 1497242267 | Tamila Parker | Pharmacist | 111 W Espy St, Kenton, OH 43326-2117 | 2018-04-17 |
| 1992204895 | Elizabeth Stahler | Pharmacist | 981 E Columbus St, Kenton, OH 43326-1650 | 2018-02-06 |
| 1265802565 | Amy Brown | Pharmacist | 111 W Espy St, Kenton, OH 43326-2117 | 2015-09-29 |
| Find all providers in KENTON | ||||
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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.