IndividualActive
Tyler Bogardus
NPI 1053778399 · Pharmacist · Watkins Glen, NY
Tyler Bogardus is a Pharmacist provider in Watkins Glen, NY (NPI 1053778399).
Provider details
- NPI number
- 1053778399
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 060461 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
506 S Franklin St
Watkins Glen, NY 14891-1524
Phone: (607) 535-7350
Street-level locationGet directions
Mailing address
405 Fern Rd
Syracuse, NY 13219-2335
Registry dates
- Enumerated
- 2016-01-18
- Last updated
- 2016-01-18
Frequently asked questions
- What is Tyler Bogardus's NPI number?
- Tyler Bogardus's National Provider Identifier (NPI) is 1053778399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Bogardus's specialty?
- Tyler Bogardus is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Tyler Bogardus located?
- Tyler Bogardus's practice location on file with NPPES is 506 S Franklin St, Watkins Glen, NY 14891-1524.
- What is Tyler Bogardus's phone number?
- The practice phone number listed in the NPPES registry for Tyler Bogardus is (607) 535-7350.
- Is Tyler Bogardus's NPI active?
- Yes — Tyler Bogardus's NPI (1053778399) is active in the NPPES registry as of the last update on 2016-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.