Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler Jerome Wallenfang, PHARMD

Individual provider Pharmacist · NPI 1225217136

Dr. Tyler Jerome Wallenfang, PHARMD is a Pharmacist in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

1350 W College Ave
Appleton, WI 54914-4974
Phone: (920) 739-9232
Fax: (920) 739-5813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14922-40 (WI)

Record details

NPI number1225217136
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 26, 2007
Last updated in NPPESApril 10, 2023
Certification dateApril 8, 2023

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