Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225217136 Individual Practitioner Male Practitioner

Dr. Tyler Jerome Wallenfang , PharmD

Pharmacist • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Wallenfang, PharmD is a registered healthcare professional specializing in Pharmacist in Appleton, WI. Practice services are available at 1350 W COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1350 W College Ave

Appleton, WI 549144974

Telephone 9207399232
Fax 9207395813
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
134 Specialists

Practicing in Appleton, WI (5503 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: 2023-04-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 14922-40

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

1 Associated Practitioners
NPI 1992982987

Registered Pharmacist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 10, 2023

Registered at 1350 W COLLEGE AVE, APPLETON, WI 549144974 (Tel: 9207399232)

📍
Updated Business Mailing Address November 18, 2020

Registered at 1350 W COLLEGE AVE STE A, APPLETON, WI 549144974 (Tel: 9207399232)

NPI Profile Active March 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2010

Registered at N162 EISENHOWER DR, APPLETON, WI 549156171 (Tel: 9207314830)

📍
Updated Business Mailing Address March 29, 2010

Registered at N162 EISENHOWER DR, APPLETON, WI 549156171 (Tel: 9207314830)

👤
Provider Name / Credentials Updated March 29, 2010

Recorded as TYLER WALLENFANG, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2010

Pharmacist (License #14922-40 in WI)

🟢
Initial NPI Registration & Enumeration October 26, 2007

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: 1225217136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2007
Last Update: April 10, 2023
Sole Proprietor: No

Mailing Address

1350 W College Ave Ste A

Appleton, WI 549144974

Phone: 9207399232

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.