1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Pharmacist
  6. NPI Profile

DR. TYLER JEROME WALLENFANG PHARMD
NPI 1225217136
Pharmacist in Appleton, WI

Active since October 26, 2007
1350 W COLLEGE AVE, APPLETON, WI 54914(920) 739-9232(920) 739-5813 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2023, Nov 18, 2020 (2 updates tracked since 2020).

About Dr. Tyler Jerome Wallenfang Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYLER JEROME WALLENFANG PHARMD (NPI 1225217136) is an individual pharmacist in Appleton, Wisconsin, licensed in Wisconsin (14922-40) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1225217136
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. TYLER JEROME WALLENFANGCredential: PHARMD
Location Address1350 W COLLEGE AVEAppleton, WI 54914-4974
Mailing Address1350 W College Ave Ste AAppleton, WI 54914-4974 · (920) 739-9232 · Fax (920) 739-5813
Phone(920) 739-9232
Fax(920) 739-5813
Sole ProprietorNo
Enumeration DateOctober 26, 2007
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 8, 2023
✔ NPI 1225217136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 14922-40
Definition
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.
1350 W COLLEGE AVE, Appleton, WI 54914
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Wallenfang's NPI number?

The NPI number for Tyler Wallenfang is 1225217136. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is Tyler Wallenfang located?

Tyler Wallenfang practices at 1350 W College Ave, Appleton, WI 54914. The listed phone number is (920) 739-9232.

What is Tyler Wallenfang's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Tyler Wallenfang was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.