Active NPI
Tyron C. Beasley, R.PH.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Auburn, AL
National Provider Identifier
1154421659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10469
- Practice address
- Kroger Pharmacy #260
300 N Dean Rd.
Auburn, AL 36830 - Phone
- (334) 821-1717
- Fax
- (334) 887-7435
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10469 | AL | Primary |
| Pharmacist | 183500000X | 10469 | AL |
Addresses
Primary practice location
Kroger Pharmacy #260
300 N Dean Rd.
Auburn, AL 36830
Mailing address
1687 Easton CT
Auburn, AL 36830-6628
Phone (334) 301-8277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10469 | Other | AL | ALA. ST. BD. PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tyron.beasley@stores.kroger.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1154421659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 EASTON CT",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306628",
"telephone_number": "334-301-8277",
"fax_number": "334-887-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KROGER PHARMACY #260",
"address_2": "300 N DEAN RD.",
"city": "AUBURN",
"state": "AL",
"postal_code": "36830",
"telephone_number": "334-821-1717",
"fax_number": "334-887-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "TYRON",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2022-06-10",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AL",
"license": "10469",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10469",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALA. ST. BD. PHARMACY",
"identifier": "10469",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tyron.beasley@stores.kroger.com",
"affiliation": "N",
"endpointDescription": "official business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "official business email",
"address_1": "Kroger Pharmacy #260",
"address_2": "300 N Dean Rd.",
"city": "Auburn",
"state": "AL",
"country_code": "US",
"postal_code": "36830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.