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

Tyler John Bogardus

Individual provider Pharmacist · NPI 1053778399

Tyler John Bogardus is a Pharmacist in Watkins Glen, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

506 S Franklin St
Watkins Glen, NY 14891-1524
Phone: (607) 535-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 060461 (NY)

Record details

NPI number1053778399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 18, 2016

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