Healthcare Provider Details

I. General information

NPI: 1174261416
Provider Name (Legal Business Name): B Y ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3338 NE RALPH POWELL RD STE E
LEES SUMMIT MO
64064-2385
US

IV. Provider business mailing address

PO BOX 886
SIKESTON MO
63801-0886
US

V. Phone/Fax

Practice location:
  • Phone: 816-788-7928
  • Fax: 816-927-6274
Mailing address:
  • Phone: 573-472-0608
  • Fax: 573-472-1814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROSS MERIDETH
Title or Position: DIRECTOR OF PHARMACY OPERATIONS
Credential:
Phone: 573-472-0608