Active NPI
Eric William Styskal, RPH
- Pharmacist
- Lake Havasu City, AZ
National Provider Identifier
1144829789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024923
- Practice address
- 75 Lake Havasu Ave N
Lake Havasu City, AZ 86403-5651 - Phone
- (928) 854-6300
- NPI assigned
- Oct 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024923 | AZ | Primary |
Addresses
Primary practice location
75 Lake Havasu Ave N
Lake Havasu City, AZ 86403-5651
Mailing address
8013 Corte del Lago
Lake Havasu City, AZ 86406-4576
Phone (210) 264-7127
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S024923 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1144829789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 CORTE DEL LAGO",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864064576",
"telephone_number": "210-264-7127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 LAKE HAVASU AVE N",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035651",
"telephone_number": "928-854-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYSKAL",
"first_name": "ERIC",
"middle_name": "WILLIAM",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-24",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.