Active NPI
Phillip Anthony Lyman
- Pharmacist
- Tuskegee, AL
National Provider Identifier
1811080567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11029
- Practice address
- 2400 Hospital Rd
Tuskegee, AL 36083 - Phone
- (334) 727-0550
- Fax
- (334) 725-2750
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 11029 | AL | Primary |
Addresses
Primary practice location
2400 Hospital Rd
Tuskegee, AL 36083
Mailing address
8124 Amber CT
Montgomery, AL 36117
Phone (334) 273-9861
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 |
|---|---|---|---|
| 11029 | AL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811080567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8124 AMBER CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36117",
"telephone_number": "334-273-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HOSPITAL RD",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "36083",
"telephone_number": "334-727-0550",
"fax_number": "334-725-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYMAN",
"first_name": "PHILLIP",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
- Life Enhancement Services, Inc.
- Life Enhancement Services, Inc.
- Life Enhancement Services, Inc.
- Rayven Likely, RPH
- Springe Yolanda Love, LCSW
- Macon County Council on Retardation and Rehabilitation, Inc.
- Macon County Health Dept Adult Immun
- Macon County Health Dept AIDS
- Macon County Health Dept Child
- Macon County Health Dept Epsdt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.