Individual provider Active NPI

Lynda M Overstrom, RPH

  • Pharmacist
  • Elmira, NY
National Provider Identifier
1023292083
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039548 Issued in NY
Practice address
830 Consumer Square Plaza
Elmira, NY 14903
Phone
(607) 732-1450
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 039548 NY Primary

Addresses

Primary practice location

830 Consumer Square Plaza
Elmira, NY 14903

Mailing address

3094 Camden Ave
Horseheads, NY 14845-3028
Phone (607) 732-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1023292083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 CAMDEN AVE",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148453028",
            "telephone_number": "607-732-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CONSUMER SQUARE PLAZA",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14903",
            "telephone_number": "607-732-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTROM",
        "first_name": "LYNDA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.