Individual provider Active NPI

Byron Kenneth Barney

  • Pharmacotherapy Pharmacist
  • Jacksonville, FL
National Provider Identifier
1588913842
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
PS44591 Issued in FL
Practice address
10137 Lancashire Dr
Jacksonville, FL 32219-4367
Phone
(904) 619-7059
Fax
(904) 683-0222
NPI assigned
Sep 2, 2012
Last updated
Sep 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X PS44591 FL Primary

Addresses

Primary practice location

10137 Lancashire Dr
Jacksonville, FL 32219-4367

Mailing address

10137 Lancashire Dr
Jacksonville, FL 32219-4367
Phone (904) 619-7059

Other identifiers 1

IdentifierTypeStateIssuer
PS44591OtherFLPHARMACY LICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
PS44591FLMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1588913842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10137 LANCASHIRE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194367",
            "telephone_number": "904-619-7059",
            "fax_number": "904-683-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10137 LANCASHIRE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194367",
            "telephone_number": "904-619-7059",
            "fax_number": "904-683-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEY",
        "first_name": "BYRON",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS44591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "PS44591",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; 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.