Individual provider Active NPI

Robert Byrd

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Nashville, TN
National Provider Identifier
1407351554
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
27068 Issued in NC
Practice address
1400 Donelson Pike Ste A15
Nashville, TN 37217-2990
Phone
(615) 866-6292
Fax
(615) 866-6293
NPI assigned
Mar 29, 2018
Last updated
May 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 27068 NC Primary

Addresses

Primary practice location

1400 Donelson Pike Ste A15
Nashville, TN 37217-2990

Mailing address

5505B Tennessee Ave
Nashville, TN 37209-2041
Phone (336) 880-5033

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

State licenses

LicenseStateTypeSpecialty
27068NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced RX Pharmacy of Tennessee, LLC CurrentSince May 16, 2022 Accepting new patients
Advanced RX Pharmacy of Tennessee, LLC CurrentSince May 16, 2022 Accepting new patients

Locations

1400 Donelson Pike
Ste A15
Nashville, TN 37217
Phone (615) 866-6292

Organizations & group practices 2

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1407351554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505B TENNESSEE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092041",
            "telephone_number": "336-880-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DONELSON PIKE STE A15",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172990",
            "telephone_number": "615-866-6292",
            "fax_number": "615-866-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "27068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.