TYLER VANWAY (NPI# 1164021366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164021366 |
| Entity Type | Individual |
| Full Name | TYLER VANWAY |
| Credential | PHARMD |
| Practice Address |
1525 Madison Ave Covington KY 41011-3315 |
| Practice Telephone | 8594315566 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
017755 | KY | Pharmacy Service Providers |
| Street Address |
1525 MADISON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851325674 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1525 Madison Ave, Covington, KY 41011-3315 | 2006-07-10 |
| 1376180125 | Grayden Losekamp | Pharmacist | 1525 Madison Ave, Covington, KY 41011-3315 | 2019-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001016 | Charles Guerrero | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1679172712 | Mark Joseph Faulkner | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1871191353 | Paige Trammell | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-10-15 |
| 1548868292 | Musau Kithome | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-10-14 |
| 1245864214 | Mahlon Lynn Davidson | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-02-27 |
| 1003447087 | Tanika Hood | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-01-29 |
| 1891326997 | Autumn Aldridge | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-28 |
| 1508496936 | Heidi Howard | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-24 |
| 1811527773 | Jessica Phillips | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-01-20 |
| 1922646900 | Stanley Craig Elliott | Pharmacist | 951 Highway 51 N, Covington, TN 38019-1702 | 2019-12-20 |
| Find all providers in COVINGTON | ||||
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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.