Active NPI
Alan Byrd
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- De Queen, AR
National Provider Identifier
1821698291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PD90255
- Practice address
- 926 E Collin Raye Dr
De Queen, AR 71832-9400 - Phone
- (870) 642-6921
- Fax
- (870) 642-7155
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PD90255 | AR | Primary |
Addresses
Primary practice location
926 E Collin Raye Dr
De Queen, AR 71832-9400
Mailing address
1950 N 9TH St
De Queen, AR 71832-9268
Phone (870) 279-3043
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 |
|---|---|---|---|
| PD90255 | AR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
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": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1821698291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 N 9TH ST",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718329268",
"telephone_number": "870-279-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E COLLIN RAYE DR",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718329400",
"telephone_number": "870-642-6921",
"fax_number": "870-642-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AR",
"license": "PD90255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Queen, AR
- Brittany Barber, PLLC (Winser Radiology)
- Brookewood Limited Partnership (Brookewood Nursing & Rehab)
- Inja Cristal Brown, APRN
- Christie Bui, D.D.S.
- Italia Bustamante-Quintana, LMSW
- C Wallace Liles III O D LLC
- C Wallace Liles Jr OD PA (Liles Vision Clinic)
- Ashley Caldwell, MS, CCC-SLP
- Jenna Christen Campbell, APN
- Megan Elaine Carter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.