Syb Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2002009522 Issued in MO

Legal business name

SYB GROUP LLC

Practice address

4900 Delmar Blvd Ste 200
Saint Louis, MO 63108-1615

Phone

(314) 367-3009

Fax

(314) 367-7792

NPI assigned

Aug 20, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Bae, BS PHARMACY

Title

Owner

Phone

(314) 367-3009

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon P Luong, PHARMD

  • Pharmacist
  • Denver, CO
  • NPI 1588059604
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1437264470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 DELMAR BLVD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081615",
            "telephone_number": "314-367-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 DELMAR BLVD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081615",
            "telephone_number": "314-367-3009",
            "fax_number": "314-367-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N Euclid Ave",
            "address_2": "STE 150",
            "address_purpose": "LOCATION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081690",
            "country_code": "US",
            "telephone_number": "314-367-3009",
            "fax_number": "314-367-7792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-367-3009",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2002009522",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2627442",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602964801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Swords, MAT
• Vicki Swyers, LCSW
• Sxnclarity
• Teresita M Syalvarado, MD
• Shirmila Syamala, MD
• Emily Childres Sydow, DO
• Nisar F Syed Power, CRNA
• Adnan Syed, DDS
• Junaid M.a. Syed, M.D.
• Reema Hameed Syed, MD

• Community/Retail Pharmacy in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.