Active NPI
Stefanie Byer
- Pharmacist
- Defuniak Springs, FL
National Provider Identifier
1710356894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36332
- Practice address
- 1103 US Highway 331 S
Defuniak Springs, FL 32435-3383 - Phone
- (850) 951-9880
- NPI assigned
- Sep 18, 2015
- Last updated
- Dec 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 36332 | SC | Primary |
Addresses
Primary practice location
1103 US Highway 331 S
Defuniak Springs, FL 32435-3383
Mailing address
136 Island Way
Freeport, FL 32439-5025
Phone (803) 972-1208
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 |
|---|---|---|---|
| 36332 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1103 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 951-9880
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671235200000",
"number": "1710356894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 ISLAND WAY",
"city": "FREEPORT",
"state": "FL",
"postal_code": "324395025",
"telephone_number": "803-972-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 US HIGHWAY 331 S",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324353383",
"telephone_number": "850-951-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYER",
"first_name": "STEFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2022-12-17",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Defuniak Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.