Brittany Lyda, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

30680 Issued in NC

Practice address

1215 W Clemmonsville Rd Ste a
Winston Salem, NC 27127-4522

Phone

(336) 293-4755

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• South Park Family Pharmacy LLC

  dba South Park Family Pharmacy

  • Community/Retail Pharmacy
  • Winston-Salem, NC
  • NPI 1295173573
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1962160697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W CLEMMONSVILLE RD STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W CLEMMONSVILLE RD STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274522",
            "telephone_number": "336-293-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDA",
        "first_name": "BRITTANY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Minh Ly, DO
• John Gregory Lyall, M.D.
• Emily Krueger Lybbert, RDN, MS, CSOWM
• Sarah League Lycan, CRNP
• Thomas William Lycan Jr., D.O.
• Brittany Autumn Lyda
• Victoria Jane Lydon, MSW, LCSW
• Elizabeth Susan Lyerly, PA-C
• Mark Andrew Lyerly, MD
• Lyfes New Direction

• Pharmacist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.