Active NPI
David Paul Byrd, R.PH.
- Pharmacist
- Deridder, LA
National Provider Identifier
1427180959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011638
- Practice address
- 1125 N Pine St
Deridder, LA 70634-2819 - Phone
- (337) 462-5794
- Fax
- (337) 462-5796
- NPI assigned
- Mar 10, 2007
- Sex
- Male
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33550 | TX | MD | General Practice Dentistry |
| 011638 | LA | MD | Pharmacist |
| 15257 | NC | MD | Pharmacist |
| 0202009827 | VA | MD | Pharmacist |
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202009827 | VA | |
| Pharmacist | 183500000X | 011638 | LA | Primary |
| Pharmacist | 183500000X | 15257 | NC | |
| Pharmacist | 183500000X | 33550 | TX |
Addresses
NPPES NPI RegistryPrimary practice location
1125 N Pine St
Deridder, LA 70634-2819
Mailing address
1125 N Pine St
Deridder, LA 70634-2819
Phone (337) 462-5794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2014.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1427180959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 N PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342819",
"telephone_number": "337-462-5794",
"fax_number": "337-462-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342819",
"telephone_number": "337-462-5794",
"fax_number": "337-462-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009827",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "011638",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15257",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "33550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.