BYERLY'S INC (NPI# 1649355587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649355587 |
| Entity Type | Organization |
| Organization Name | BYERLY'S INC |
| Other Organization Name | PRAIRIESTONE PHARMACY |
| Practice Address |
1959 Suburban Ave Saint Paul MN 55119-7002 |
| Mailing Address |
4100 W 50th St Suite 2100 Edina MN 55424-1200 |
| Practice Telephone | 6512099690 |
| Practice Fax Number | 6512099695 |
| Mailing Telephone | 9529153737 |
| Mailing Fax Number | 9529153789 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | KARI HARMS (AR COORDINATOR) |
| Authorized Official Telephone | 9529153737 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 262989 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 718623000 | 05 |
| Other Name | Type Code |
|---|---|
| PRAIRIESTONE PHARMACY | Doing Business As Name - Organization |
| Street Address |
1959 SUBURBAN AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55119-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831399328 | Alyssa Nicole Klotz | Pharmacist | 1959 Suburban Ave, Saint Paul, MN 55119-7002 | 2007-07-23 |
| 1528188513 | Gregory W Smith | Pharmacist | 1959 Suburban Ave, Saint Paul, MN 55119-7002 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520307 | Restorative Healing & Counseling, LLC | Social Worker | 385 Londin Place, St. Paul, MN 55119 | 2020-02-13 |
| 1891282059 | Tyller Robert | Specialist/Technologist | 2594 Montana Ave E, Maplewood, MN 55119 | 2018-04-13 |
| 1477081032 | Katarzyna Zelichowski | Dentist | 1790 7th St. E, St.paul, MN 55119 | 2017-05-26 |
| 1952769333 | Rufus Zarzar | Non-emergency Medical Transport (VAN) | 230 Kipling St S # C6, St Paul, MN 55119 | 2016-02-01 |
| 1144611427 | Eric Michael Weisnicht | Chiropractor | 165 Mcknight Road N, Apt 105, Saint Paul, MN 55119 | 2015-02-09 |
| 1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1528391976 | Kc Healthcare Services | Home Health | 295 Mcnight Road South, St Paul, MN 55119 | 2009-09-16 |
| 1073759510 | Life Fountain Home Health Care Inc | Home Health | 1380 Currie St N, Maplewood, MN 55119 | 2009-01-06 |
| 1295858991 | Dental Delivery Systems St Paul, Pa | Dentist | 1790 7th Street E., St. Paul, MN 55119 | 2007-04-09 |
| Find all providers in zip 55119 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486877 | Jonathon Montag | Pharmacist | 122 Wabasha St S, Saint Paul, MN 55107-1896 | 2020-08-03 |
| 1821608217 | Veasna Marcus Chak | Pharmacist | 2197 Old Hudson Rd, Saint Paul, MN 55119-4404 | 2020-07-31 |
| 1780205559 | Sarah Jastram | Pharmacist | 862 Smith Ave S, Saint Paul, MN 55107-3527 | 2020-05-02 |
| 1770118143 | Peter Nguyen | Pharmacist | 2080 Ford Parkway, Saint Paul, MN 55116-5511 | 2020-03-06 |
| 1063875441 | Rahel Kitilla | Pharmacist | 245 Maryland Ave E, Saint Paul, MN 55117-4617 | 2016-04-01 |
| 1548635881 | Morah Ngozi Nwaneri | Pharmacist | 1703 Bohland Ave, Saint Paul, MN 55116-2126 | 2015-12-12 |
| 1043683469 | Valerie Ann Pilgrim | Pharmacist | 2860 Jordan Dr, Saint Paul, MN 55125-2833 | 2015-11-06 |
| 1336523596 | Amy Rahm | Pharmacist | 240 Spring St Unit 515, Saint Paul, MN 55102-4707 | 2015-07-16 |
| 1649659939 | Seth Runkle | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2015-05-20 |
| 1427452747 | Trish Kanous | Pharmacist | 1085 Dayton Ave, Saint Paul, MN 55104-6504 | 2014-10-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55119 |
Please comment or provide details below to improve the information on BYERLY'S INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.