Individual provider Active NPI

Adam Lloyd Byerly, PHARMD

  • Pharmacist
  • Grand Junction, CO
National Provider Identifier
1932482049
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19097 Issued in CO
Practice address
240 W Park Dr
Grand Junction, CO 81505-1450
Phone
(970) 208-1252
Fax
(970) 208-1258
NPI assigned
Sep 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19097 CO Primary

Addresses

Primary practice location

240 W Park Dr
Grand Junction, CO 81505-1450

Mailing address

2156 Castlewood CT
Grand Junction, CO 81507-1055
Phone (970) 628-1055

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19097COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316908800000",
    "number": "1932482049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 CASTLEWOOD CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071055",
            "telephone_number": "970-628-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051450",
            "telephone_number": "970-208-1252",
            "fax_number": "970-208-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERLY",
        "first_name": "ADAM",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-25",
        "last_updated": "2011-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "19097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; 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.