Healthcare Provider Details

I. General information

NPI: 1942896535
Provider Name (Legal Business Name): TYLER JAMES ALLEN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 S RURAL RD
TEMPE AZ
85284-4116
US

IV. Provider business mailing address

1500 W RIO SALADO PKWY UNIT 11
MESA AZ
85201-3819
US

V. Phone/Fax

Practice location:
  • Phone: 480-783-6233
  • Fax: 480-783-6227
Mailing address:
  • Phone: 602-377-4342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS024828
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: