Individual provider Active NPI

John B Dyer, PHARM. D, RPH

  • Pharmacist
  • Baytown, TX
National Provider Identifier
1396772927
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42252 Issued in TX
Practice address
11540 Eagle Dr Ste a
Baytown, TX 77523-7654
Phone
(281) 576-0106
Fax
(281) 576-5511
NPI assigned
Jun 27, 2006
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42252 TX Primary

Addresses

Primary practice location

11540 Eagle Dr Ste a
Baytown, TX 77523-7654

Mailing address

11540 Eagle Dr Ste a
Baytown, TX 77523-7654
Phone (281) 576-0106

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
42252TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Pharmacy Current Accepting new patients

Locations

11540 Eagle Dr
Ste A
Baytown, TX 77523
Phone (281) 576-0106

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1396772927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 EAGLE DR STE A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775237654",
            "telephone_number": "281-576-0106",
            "fax_number": "281-576-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 EAGLE DR STE A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775237654",
            "telephone_number": "281-576-0106",
            "fax_number": "281-576-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARM. D, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.