NPI 1003381963

Tyler James Goebel, PHARMD

Practitioner Pharmacist Kansas City, MO

Practice location

Address: 4801 E Linwood Blvd, Kansas City, MO 64128-2226
Phone: (816) 861-4700
Mailing address: 12222 S Shannan Ln, Olathe, KS 66062-5972

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 23450 (IA)

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Registry record

NPI: 1003381963
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Oct 2018
Record last updated: 23 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.