IndividualActive
Tyler Waller, PHARMD.
NPI 1568076602 · Pharmacist · Grand Rapids, MN
Tyler Waller, PHARMD. is a Pharmacist provider in Grand Rapids, MN (NPI 1568076602).
Provider details
- NPI number
- 1568076602
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD.
- Sex
- Male
- Sole proprietor
- No
- License
- 120141 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 999-1892
Street-level locationGet directions
Mailing address
28791 River View Dr
Grand Rapids, MN 55744-5664
Registry dates
- Enumerated
- 2020-09-05
- Last updated
- 2020-09-05
- Certified
- 2020-09-05
Frequently asked questions
- What is Tyler Waller's NPI number?
- Tyler Waller's National Provider Identifier (NPI) is 1568076602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Waller's specialty?
- Tyler Waller is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Tyler Waller located?
- Tyler Waller's practice location on file with NPPES is 1601 Golf Course Rd, Grand Rapids, MN 55744-8648.
- What is Tyler Waller's phone number?
- The practice phone number listed in the NPPES registry for Tyler Waller is (218) 999-1892.
- Is Tyler Waller's NPI active?
- Yes — Tyler Waller's NPI (1568076602) is active in the NPPES registry as of the last update on 2020-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.