Theadore Lyons II, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD10428 Issued in AR

Practice address

6084 Apple Tree Dr
Ste 11
Memphis, TN 38115-0305

Phone

(901) 779-6500

Fax

(901) 779-6555

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lyons RX Incorporated

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1023212529
  NPD
• Shotrx, LLC

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1154990943

  Multi-Specialty

  NPD
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1104945898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 APPLE TREE DR",
            "address_2": "STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150305",
            "telephone_number": "901-737-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 APPLE TREE DR",
            "address_2": "STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150305",
            "telephone_number": "901-779-6500",
            "fax_number": "901-779-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Bond Ave",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723013550",
            "country_code": "US",
            "telephone_number": "870-735-3842 x232",
            "fax_number": "870-735-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "THEADORE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "TN10120",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "10120",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lyon, FNP-C
• Lyons RX Incorporated
• Kerri Lyons, O.D.
• Kristin Lyons
• Merica Yvette Lyons, PHARMD
• Brynne Ramsey Lytle, D.D.S.
• Maegan Marie Lytle, FNP
• M. Shellez Transportation
• M. Wade Clayton, DDS, PA, Inc.
• M.D. Hospitalists, LLC

• Pharmacist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.