NPIMap

Individual provider Active NPI

Adrian Todd Bythwood, PHARM D.

  • Pharmacist
  • Audubon, PA
National Provider Identifier
1194062760
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP450383 Issued in PA
Practice address
2801 Egypt Rd
Audubon, PA 19403-2105
Phone
(610) 666-0512
NPI assigned
Jan 15, 2013
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH020023 GA
Pharmacist 183500000X RP450383 PA Primary

Addresses

Primary practice location

2801 Egypt Rd
Audubon, PA 19403-2105

Mailing address

2801 Egypt Rd
Audubon, PA 19403-2105
Phone (610) 666-0512

Other practice location 1

4325 Atlanta Hwy
Loganville, GA 30052-2341
Phone (770) 466-5156

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH020023GAMDPharmacist
RP450383PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania CVS Pharmacy, L.L.C. CurrentSince Dec 8, 2024 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Dec 13, 2020 Accepting new patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Locations

2801 Egypt Rd
Norristown, PA 19403
Phone (610) 666-0512

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1194062760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 EGYPT RD",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032105",
            "telephone_number": "610-666-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 EGYPT RD",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032105",
            "telephone_number": "610-666-0512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522341",
            "country_code": "US",
            "telephone_number": "770-466-5156",
            "fax_number": "770-466-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYTHWOOD",
        "first_name": "ADRIAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020023",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.