Healthcare Provider Details

I. General information

NPI: 1497680920
Provider Name (Legal Business Name): TYLER RYAN HERRING
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 W TOWN PLZ
BESSEMER AL
35020-5347
US

IV. Provider business mailing address

18615 CAFFEE DR
VANCE AL
35490-2666
US

V. Phone/Fax

Practice location:
  • Phone: 205-492-7175
  • Fax:
Mailing address:
  • Phone: 205-260-3367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24645
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: