Provider Demographics
NPI:1023908852
Name:BY BLEND, LLC
Entity type:Organization
Organization Name:BY BLEND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DISTEFANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:800-292-0499
Mailing Address - Street 1:6171 HUNTLEY RD STE J
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1047
Mailing Address - Country:US
Mailing Address - Phone:800-292-0499
Mailing Address - Fax:380-215-3850
Practice Address - Street 1:6171 HUNTLEY RD STE J
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1047
Practice Address - Country:US
Practice Address - Phone:800-292-0499
Practice Address - Fax:380-215-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy