Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699454074 Individual Practitioner Male Practitioner

Tyler Douma

Pharmacist • Depew, NY

Professional Overview & Biography Verified Profile Summary

Tyler Douma is a registered healthcare professional specializing in Pharmacist in Depew, NY. Practice services are available at 578 DICK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

578 Dick Rd

Depew, NY 140431846

Telephone 7166839870
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1356356406

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Depew, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
85 Specialists

Practicing in Depew, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NJ 28RI04312700

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1043441520
NPI 1144403130

Registered Pharmacist

NPI 1144487729

Registered Pharmacist

Shana Johnson

Pharmacist

NPI 1255103982
NPI 1396302931
NPI 1679895429

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 08, 2025

Registered at 578 DICK RD, DEPEW, NY 140431846 (Tel: 7166839870)

NPI Profile Active July 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2023

Registered at 132 MAIN ST, BLOOMINGDALE, NJ 074031672 (Tel: 9738380003)

📍
Updated Business Mailing Address July 13, 2023

Registered at 83 CHAMBERLAIN PL, MIDLAND PARK, NJ 074321624 (Tel: 2012486024)

👤
Provider Name / Credentials Updated July 13, 2023

Recorded as TYLER DOUMA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2023

Pharmacist (License #28RI04312700 in NJ)

🟢
Initial NPI Registration & Enumeration July 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699454074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2023
Last Update: January 08, 2025
Sole Proprietor: No

Mailing Address

83 Chamberlain Pl

Midland Park, NJ 074321624

Phone: 2012486024

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.