IndividualActive
Carly Tyson
NPI 1619645637 · Pharmacist · Wyoming, MI
Carly Tyson is a Pharmacist provider in Wyoming, MI (NPI 1619645637).
Provider details
- NPI number
- 1619645637
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5302413669 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3601 Clyde Park Ave Sw
Wyoming, MI 49509-4023
Phone: (616) 257-6641
Street-level locationGet directions
Mailing address
500 Coit Ave Ne
Grand Rapids, MI 49503
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2021-09-03
- Certified
- 2021-08-18
Frequently asked questions
- What is Carly Tyson's NPI number?
- Carly Tyson's National Provider Identifier (NPI) is 1619645637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Tyson's specialty?
- Carly Tyson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Carly Tyson located?
- Carly Tyson's practice location on file with NPPES is 3601 Clyde Park Ave Sw, Wyoming, MI 49509-4023.
- What is Carly Tyson's phone number?
- The practice phone number listed in the NPPES registry for Carly Tyson is (616) 257-6641.
- Is Carly Tyson's NPI active?
- Yes — Carly Tyson's NPI (1619645637) is active in the NPPES registry as of the last update on 2021-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.