Byerly's Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

262989 Issued in MN

Legal business name

BYERLY'S INC

Doing business as

Prairiestone Pharmacy

Practice address

1959 Suburban Ave
Saint Paul, MN 55119-7002

Phone

(651) 209-9690

Fax

(651) 209-9695

NPI assigned

Oct 26, 2006

Last updated

Apr 1, 2009By 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

Kari Harms

Title

Ar Coordinator

Phone

(952) 915-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRAIRIESTONE PHARMACY Doing business as

Locations

Practitioners 2

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.

• Alyssa Nicole Klotz, PHARMD

  • Pharmacotherapy Pharmacist
  • Saint Paul, MN
  • NPI 1831399328
  NPD (past)
• Gregory W Smith, PHARMD.

  • Pharmacist
  • Saint Paul, MN
  • NPI 1528188513
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1649355587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 50TH ST",
            "address_2": "SUITE 2100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241200",
            "telephone_number": "952-915-3737",
            "fax_number": "952-915-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 SUBURBAN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551197002",
            "telephone_number": "651-209-9690",
            "fax_number": "651-209-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYERLY'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "AR COORDINATOR",
        "authorized_official_telephone_number": "952-915-3737"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "262989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718623000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAIRIESTONE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley Joan Butler, PA-C
• Ann Buttermann, MD
• Htoo Bway, INTERPRETER
• Angie Byboth - Malmin
• Nikolina Ye-Eun Bye
• Justin J Byers, MS, ATC, ACI
• Bri Byram
• Mary Catherine Byrne Zinkel, LICSW
• C & H Services MN L.L.C. (MN Care Services)
• C & H Services MN L.L.C.

• Pharmacist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.