JAMIE LYBERG PHARM.D.
NPI 1639404080
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grand Rapids, MI

Active since October 02, 2009
3019 COIT AVE NE, GRAND RAPIDS, MI 49505(616) 365-9575 Get Directions Write a Review

NPPES record last updated: October 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jamie Lyberg Pharm.d. NPPES

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

JAMIE LYBERG PHARM.D. (NPI 1639404080) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Grand Rapids, Michigan, licensed in Michigan (5302035301) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1639404080
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameJAMIE LYBERGCredential: PHARM.D.
Location Address3019 COIT AVE NEGrand Rapids, MI 49505-3376
Mailing Address647 Bayberry Pointe Dr Nw Apt CGrand Rapids, MI 49534-4629 · (616) 365-9575
Sole ProprietorNo
Enumeration DateOctober 2, 2009
NPI 1639404080 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 MI · 5302035301
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.
3019 COIT AVE NE, Grand Rapids, MI 49505

Other Providers at the Same Location NPPES 20

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

Pharmacist
3019 COIT AVE NE, VA OUTPATIENT CLINIC
GRAND RAPIDS, MI 49505
Physical Therapy Assistant
3019 COIT AVE NE
GRAND RAPIDS, MI 49505
Pharmacist
3019 COIT AVE NE
GRAND RAPIDS, MI 49505
Audiologist
3019 COIT AVE NE
GRAND RAPIDS, MI 49505
Dentist
3019 COIT AVE NE
GRAND RAPIDS, MI 49505
Registered Nurse (Home Health)
3019 COIT AVE NE
GRAND RAPIDS, MI 49505
Internal Medicine
3019 COIT AVE NE
GRAND RAPIDS, MI 49505
Physician Assistant (Medical)
3019 COIT AVE NE
GRAND RAPIDS, MI 49505

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 Jamie Lyberg's NPI number?

The NPI number for Jamie Lyberg is 1639404080. It was assigned to this individual provider in the NPPES registry on October 2, 2009.

Where is Jamie Lyberg located?

Jamie Lyberg practices at 3019 Coit Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 365-9575.

What is Jamie Lyberg'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 Jamie Lyberg was last updated on October 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.