TYLER DAVIS (NPI# 1376105221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376105221 |
| Entity Type | Individual |
| Full Name | TYLER DAVIS |
| Credential | PHARMD, RPH |
| Practice Address |
500 Suncrest Town Centre Dr Morgantown WV 26505-1820 |
| Mailing Address |
3292 University Ave Apt 605 Morgantown WV 26505-2279 |
| Practice Telephone | 3042856781 |
| Mailing Telephone | 4192625225 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0011744 | WV | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1851 Earl L Core Rd, Morgantown, WV 26505 | 3042960657 | |
| 198 Emily Dr, Clarksburg, WV 263015501 | 3046231482 | |
| 350 Patteson Dr, Morgantown, WV 265053232 | 3045998316 | |
| 788 W Pike St, Clarksburg, WV 263012649 | 3046232598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646936 | Tyler Davis | Occupational Therapy Assistant | 709 Highway 19, Thayer, MO 65791 | 2018-01-03 |
| 1790096154 | Tyler Davis | Dentist | 80 W Concord St, #2, Boston, MA 02118-3808 | 2010-06-30 |
| 1104053057 | Tyler Matheson Davis | Dentist | 814 S Main St, Wake Forest, NC 27587-2808 | 2009-06-18 |
| 1003439803 | Tyler Davis | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-05-27 |
| 1346894409 | Tyler Richard Davis | Nurse Practitioner | 617 E Riverside Dr Ste 302, Saint George, UT 84790-8722 | 2019-07-27 |
| 1447815295 | Tyler Lynn Davis | Registered Nurse | 2500 Rocky Mountain Ave Ste 100, Loveland, CO 80538-9004 | 2019-05-07 |
| 1972064160 | Tyler R. Davis | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130-3932 | 2019-03-29 |
| 1013477942 | Tyler Davis | Anesthesiology | Kumc 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2019-03-25 |
| 1275090722 | Tyler Davis | Emergency Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2019-02-20 |
| 1336637941 | Tyler Davis | Pharmacist | 6777 Clinton Hwy, Knoxville, TN 37912-1020 | 2018-04-30 |
| Street Address |
500 SUNCREST TOWN CENTRE DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316124803 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2008-01-28 |
| 1265042725 | Lauren Maly | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2020-08-08 |
| 1972083392 | Olivia Bunner Shoemaker | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2018-08-15 |
| 1285184895 | Abbi Blevins | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2016-10-06 |
| 1710341094 | Christopher Gianni | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2016-04-12 |
| 1720383201 | Michael Gibson King | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2011-01-14 |
| 1821391731 | Michelle Lynn King | Pharmacist | 500 Suncrest Town Centre Dr, Pharmacy Department, Morgantown, WV 26505-1820 | 2010-12-15 |
| 1497057194 | Jeffrey A Mick | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2010-12-01 |
| 1922300896 | Marcus R Harbert | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| 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 |
|---|---|---|---|---|
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1225681893 | Ronald Selders II | Pharmacist | 178 Mccormick Hollow Rd, Morgantown, WV 26508-9486 | 2019-07-22 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1437605227 | Kendall Kori Rouleau | Pharmacist | 5001 University Towne Center Dr, Morgantown, WV 26501-2267 | 2016-08-31 |
| 1548626914 | Hilary Hicks | Pharmacist | 500 Suncrest Centre, Morgantown, WV 26505 | 2016-01-14 |
| 1104201847 | Brian William Bedwick | Pharmacist | 215 Don Knotts Blvd Ste 120, Morgantown, WV 26501-6734 | 2015-07-23 |
| 1194113720 | Hank S Washer | Pharmacist | 205 West Gl Smith Street, Morgantown, KY 42261 | 2015-01-06 |
| 1902200165 | Kathy Hibbs | Pharmacist | 889 Venture Dr Ste 2, Morgantown, WV 26508-7311 | 2014-10-17 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on TYLER DAVIS.
| 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.