Active NPI
M Darlene Byram, RPH
- Pharmacist
- Tupelo, MS
National Provider Identifier
1467760801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E08818
- Practice address
- 809 Varsity Dr
Tupelo, MS 38801-4615 - Phone
- (662) 841-1983
- Fax
- (662) 841-9275
- NPI assigned
- Sep 20, 2010
- Last updated
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E08818 | MS | Primary |
Addresses
Primary practice location
809 Varsity Dr
Tupelo, MS 38801-4615
Mailing address
809 Varsity Dr
Tupelo, MS 38801-4615
Phone (662) 841-1983
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 |
|---|---|---|---|
| E08818 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
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.
-
dba Freds Pharmacy 3648
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1467760801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 VARSITY DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014615",
"telephone_number": "662-841-1983",
"fax_number": "662-841-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 VARSITY DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014615",
"telephone_number": "662-841-1983",
"fax_number": "662-841-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRAM",
"first_name": "M",
"middle_name": "DARLENE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E08818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.