Johnathon Tyler Byrd, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42325 Issued in TN

Practice address

128 W Main St
Steele, MO 63877-1434

Phone

(573) 695-4533

Fax

(573) 695-3327

NPI assigned

Mar 10, 2020

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Steele Greene Pharmacy, Inc

  dba Greene Pharmacy

  • Community/Retail Pharmacy
  • Steele, MO
  • NPI 1285734954
  NPD (past)
• Greene Pharmacy

  • Community/Retail Pharmacy
  • Steele, MO
  • NPI 1477697167
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1902431943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 HIGHWAY 78",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380246206",
            "telephone_number": "731-676-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W MAIN ST",
            "city": "STEELE",
            "state": "MO",
            "postal_code": "638771434",
            "telephone_number": "573-695-4533",
            "fax_number": "573-695-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 Parr Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242030",
            "country_code": "US",
            "telephone_number": "731-285-0844",
            "fax_number": "731-285-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JOHNATHON",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019027663",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Bidewell, PHARMD
• City of Steele Greene Pharmacy, Inc (Greene Pharmacy)
• Andrianna Pagona Gonzalez, APRN, FNP-C
• Greene Pharmacy
• David Lee Greene, RPH
• Home Health Professionals, Inc

• Pharmacist in Steele, MO
• Providers in Steele, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.