Individual provider Active NPI

Karen Lynne Bever, R. PH.

  • Pharmacist
  • Tyler, TX
National Provider Identifier
1487941415
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30766 Issued in TX
Practice address
7003 S Broadway Ave
Tyler, TX 75703-4737
Phone
(903) 939-8550
Fax
(903) 939-8550
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30766 TX Primary

Addresses

Primary practice location

7003 S Broadway Ave
Tyler, TX 75703-4737

Mailing address

7003 S Broadway Ave
Tyler, TX 75703-4737
Phone (903) 939-8550

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

LicenseStateTypeSpecialty
30766TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1487941415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034737",
            "telephone_number": "903-939-8550",
            "fax_number": "903-939-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034737",
            "telephone_number": "903-939-8550",
            "fax_number": "903-939-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVER",
        "first_name": "KAREN",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "R. PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "30766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.