TYLER FULLER PHARMD – NPI #1790661833
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

TYLER FULLER is a pharmacist located in MADISON, MS. NPPES has assigned the NPI number 1790661833 to TYLER FULLER on August 13, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TYLER FULLER below.

NPI Profile for
TYLER FULLER

NPI Number
1790661833
Enumeration Date

(about 10 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TYLER FULLER
Credentials
PHARMD
Primary location
1070 HIGHWAY 51
MADISON, MS 39110-9084
Phone: (601) 856-3275 Fax:
1 Other location(s):
2721 S Norrell Rd
Bolton, MS 39041-9345
Phone: (601) 316-9472
Mailing address
2721 S NORRELL RD
BOLTON, MS 39041-9345
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
MS E-102084

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.