Alexandra Allyn Lyons, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHA-PHA-LIC-71487 Issued in MT

Practice address

40 W Idaho St
Kalispell, MT 59901-3956

Phone

(406) 257-0714

NPI assigned

Dec 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Kalispell, MT
  • NPI 1710992755
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1881281996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LUELLA LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011204",
            "telephone_number": "908-566-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W IDAHO ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013956",
            "telephone_number": "406-257-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ALEXANDRA",
        "middle_name": "ALLYN",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-71487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lustig, MD
• Luxottica of America Inc.
• Crystal Star Lyght, ACLC
• Herman Oscar Lyle III, MD
• Lymphedema and Occupational Therapy Service, Inc
• David Macneill, FNP-BC
• Niall Patrick Madigan, MD
• Raeanna Madigan, NP-BC
• Edward James Madler, MD
• Kenneth A Madsen Jr., D.D.S.

• Pharmacist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Pharmacist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.