Byerlys Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262986 Issued in MN

Legal business name

BYERLYS INC

Practice address

401 County Road 42 E
Burnsville, MN 55306-5706

Phone

(952) 435-8145

Fax

(952) 435-5513

NPI assigned

Oct 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jodi Robinson, CPHT

Title

Sr. Manager, Pharmacy Ops

Phone

(952) 915-3736

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lunds & Byerlys Pharmacy #1011 Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Milbert Harrison, RPH

  • Pharmacist
  • Burnsville, MN
  • NPI 1063735140
  NPD (past)
• Jennifer McNutt, RPH

  • Pharmacist
  • Burnsville, MN
  • NPI 1386740132
  NPD (past)
• Kendall R Peterson, R. PH.

  • Pharmacist
  • Burnsville, MN
  • NPI 1265453757
  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": "1435708800000",
    "number": "1831274778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 W 50TH ST",
            "address_2": "SUITE B-102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241210",
            "telephone_number": "877-540-4748",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COUNTY ROAD 42 E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065706",
            "telephone_number": "952-435-8145",
            "fax_number": "952-435-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYERLYS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "SR. MANAGER, PHARMACY OPS",
        "authorized_official_telephone_number": "952-915-3736",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394407000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lunds & Byerlys Pharmacy #1011",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Jacob Butenhoff, MPAS, PA-C
• Abdiladif Buthul
• Patsy Butterworth, MA, LPCC
• Kathryn Lyn Buysse, PHARMD
• Bradley Bychinski, L.M.F.T
• Davis Edward Thomas Byrne
• Jesus F Cabrera, MD
• Alexander Kenneth Calderone, MD
• Amelea Fay Caldwell
• Ellen Cameron

• Community/Retail Pharmacy in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.