CARLY ANN TYSON
NPI 1619645637
Pharmacist in Wyoming, MI

Active since September 03, 2021
3601 CLYDE PARK AVE SW, WYOMING, MI 49509(616) 257-6641 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carly Ann Tyson NPPES

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

CARLY ANN TYSON (NPI 1619645637) is an individual pharmacist in Wyoming, Michigan, licensed in Michigan (5302413669) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1619645637
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCARLY ANN TYSON
Location Address3601 CLYDE PARK AVE SWWyoming, MI 49509-4023
Mailing Address500 Coit Ave Ne, Apt 302Grand Rapids, MI 49503
Sole ProprietorNo
Enumeration DateSeptember 3, 2021
NPPES CertifiedAugust 18, 2021
NPI 1619645637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302413669
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.
3601 CLYDE PARK AVE SW, Wyoming, MI 49509

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3601 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
3601 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacy
3601 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
3601 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
3601 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
3601 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
3601 CLYDE PARK AVE SW
WYOMING, MI 49509

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 Carly Tyson's NPI number?

The NPI number for Carly Tyson is 1619645637. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Carly Tyson located?

Carly Tyson practices at 3601 Clyde Park Ave SW, Wyoming, MI 49509. The listed phone number is (616) 257-6641.

What is Carly Tyson'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 Carly Tyson was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.