Lisa Marie Lyons, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

11482 Issued in SC

Practice address

3606 Main Hwy
Bamberg, SC 29003-1867

Phone

(803) 245-1054

Fax

(803) 245-1057

NPI assigned

May 10, 2011

Last updated

Jun 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lisa Lyons Fralick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 3648

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1578855599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MAIN HWY",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031867",
            "telephone_number": "803-245-1054",
            "fax_number": "803-245-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MAIN HWY",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031867",
            "telephone_number": "803-245-1054",
            "fax_number": "803-245-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FRALICK",
            "middle_name": "LYONS",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Jones Kinsey, R.N.
• Bretta Cook Kittrell, FNP
• Low Country Health Care System (Low Country Pharmacy of Bamberg)
• Low Country Health Care System, Inc (Bamberg Specialty Services)
• Low Country Health Care System, Inc (Padgett Family Practice)
• Danette F McAlhaney, MD
• John McBride
• Jan G. McCormack, CCC-SLP
• Allison McGee, MSP, CCC-SLP
• Crystal Marie McGuire, FNP

• Pharmacist in Bamberg, SC
• Providers in Bamberg, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.