Active NPI
Retha Bylsma
- Pharmacist
- Roanoke Rapids, NC
National Provider Identifier
1689973794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21569
- Practice address
- 1825 E 10TH St
Roanoke Rapids, NC 27870-4925 - Phone
- (252) 535-4681
- Fax
- (252) 535-5273
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 21569 | NC | Primary |
Addresses
Primary practice location
1825 E 10TH St
Roanoke Rapids, NC 27870-4925
Mailing address
573 Canoe CRK
Gaston, NC 27832-9590
Phone (252) 458-4890
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21569 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spears Pharmacy Inc | Current | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Roanoke Rapids, NC
- NPI 1932287448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1689973794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 CANOE CRK",
"city": "GASTON",
"state": "NC",
"postal_code": "278329590",
"telephone_number": "252-458-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E 10TH ST",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704925",
"telephone_number": "252-535-4681",
"fax_number": "252-535-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYLSMA",
"first_name": "RETHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
- William J Brunelli, MD
- Meghan Bruso, CRNP
- Christina Howerton Bryant, PHARMD
- Ellen Burnett, LPA
- William Joseph Burrell, PA-C
- C Douglas Peedin Jr DDS
- C.a.R.E, Inc. (Cognitive Achievement and Rehabilitative Enrichment
- C&M Behavioral Health, PLLC
- Marco Antonio Caceres Sr., MD
- Julie Ann Campbell-Barnes, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.