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

Tyler Edwards

Individual provider Pharmacist · NPI 1235842600

Tyler Edwards is a Pharmacist in Mohegan Lake, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1775 E Main St
Mohegan Lake, NY 10547-1356
Phone: (914) 528-5591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 069361 (NY)

Record details

NPI number1235842600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJanuary 2, 2023
Certification dateDecember 31, 2022
Mailing address24 Rensselaer Dr, Spring Valley, NY 10977-1827

Other providers in Mohegan Lake