NPI
Tyler Anthony Frederick
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- PharmD
- Type
- Individual
- Enumeration date
- 2019-11-01
- Last updated
- 2026-06-24
Specialties
Licenses
- License KY
- 020737
Location
- Practice location
- 3675 Dolson Ct
- City
- Carroll OH
- Postal code
- 43112-9721
- Phone
- (877) 816-0942
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Carroll, OH. 76 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
Run it in Rivvi
Is this you?
Check your listing for a stale address, wrong specialty or deactivation. Free.
Check my listingFree to start. Opens Rivvi, the AI workspace for healthcare teams.