JAMIE LYBERG (NPI# 1639404080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639404080 |
| Entity Type | Individual |
| Full Name | JAMIE LYBERG |
| Credential | PHARM.D. |
| Practice Address |
3019 Coit Ave Ne Grand Rapids MI 49505-3376 |
| Mailing Address |
647 Bayberry Pointe Dr Nw Apt C Grand Rapids MI 49534-4629 |
| Practice Telephone | 6163659575 |
| Mailing Telephone | 6163659575 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302035301 | MI | Pharmacy Service Providers |
| Street Address |
3019 COIT AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700830684 | Erik Kooyer | Internal Medicine | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2006-05-22 |
| 1508262304 | Scott Michael Kass | Optometrist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2014-11-06 |
| 1821419045 | Sarah Mallis | Psychologist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2013-12-16 |
| 1033467212 | Nicholas James Liimatta | Audiologist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2012-08-21 |
| 1952658767 | Amy Beth Vanderlugt | Dental Hygienist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2012-08-10 |
| 1023313640 | Susan L Clark | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2011-01-12 |
| 1235434952 | Amy Marie Easey | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2011-01-12 |
| 1649595158 | Janis Kay French | Pharmacist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2010-03-29 |
| 1356665798 | Reynaldo Soto | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2010-03-14 |
| 1679802029 | Ryan J Brown | Optometrist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2009-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1851956494 | Brenda Dobson | Pharmacist | 100 Michigan St Ne # Mc001, Grand Rapids, MI 49503-2560 | 2019-05-09 |
| 1972932994 | Susan Devuyst-miller | Pharmacist | 4958 Winston Hill Dr Ne, Grand Rapids, MI 49525-6201 | 2013-11-12 |
| 1669099560 | Kamah Ellena | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-26 |
| 1942705439 | Alaa S Abouabdalla | Pharmacist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2018-03-27 |
| 1225540420 | Joseph Alexander Marek | Pharmacist | 5531 28th St Se, Grand Rapids, MI 49512-2053 | 2017-10-27 |
| 1598293383 | Angela Jean Stropkai | Pharmacist | 665 Seward Ave Nw Ste 320, Grand Rapids, MI 49504-5190 | 2017-05-24 |
| 1831630359 | Katie Lynn Axford | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2017-03-16 |
| 1841735214 | Benjamin Kulwicki | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2016-12-21 |
| 1962863670 | Julie Belfer | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2016-03-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on JAMIE LYBERG.
| 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.