DR. JENNIFER JEANNE LYON PHARMD
NPI 1114251568
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Fidel, NM

Q: What is Jennifer Lyon's NPI number?

The NPI number for Jennifer Lyon is 1114251568. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Q: What is Jennifer Lyon's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lyon was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 01, 2009

I-40 EXIT 102, SAN FIDEL, NM 87049(505) 552-5395 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jennifer Jeanne Lyon Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER JEANNE LYON PHARMD (NPI 1114251568) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in San Fidel, New Mexico, licensed in Alaska (1535) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1114251568

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameDR. JENNIFER JEANNE LYONCredential: PHARMD

Location AddressI-40 EXIT 102San Fidel, NM 87049

Mailing AddressPo Box 130San Fidel, NM 87049-0130 · (505) 552-5395

Phone(505) 552-5395

Sole ProprietorYes

Enumeration DateOctober 1, 2009

✔ NPI 1114251568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in AK · 1535

Definition

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.

I-40 EXIT 102, San Fidel, NM 87049

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLOWAN D DEHERRERA RN

Registered Nurse (Community Health)

I-40 EXIT 102, ACL PHS INDIAN HOSPITAL
SAN FIDEL, NM 87049

Cibola County (505) 552-5324

MS. MELISSA Y WYACO RN

Registered Nurse (Community Health)

I-40 EXIT 102
SAN FIDEL, NM 87049

Cibola County (505) 552-5324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Lyon's NPI number?

The NPI number for Jennifer Lyon is 1114251568. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Where is Jennifer Lyon located?

Jennifer Lyon practices at I-40 Exit 102, San Fidel, NM 87049. The listed phone number is (505) 552-5395.

What is Jennifer Lyon's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jennifer Lyon was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.