Tyler Philipps, PharmD
Pharmacist in Madison, WI. Individual provider (NPI-1).
NPI number1003798547
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1003798547
- Entity type
- Individual (NPI-1)
- Name
- Tyler Philipps
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 23034-40 | WI | Yes |
Practice location
600 Highland AveMadison, WI 53792-0001
Phone 779-696-4400
Mailing address
600 Highland AveMadison, WI 53792-0001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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