Individual provider Active NPI

Katherine Nancy Lyndaker, PHARMD

  • Pharmacist
  • Pulaski, NY
National Provider Identifier
1154790053
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
061197 Issued in NY
Practice address
20 Scotch Grove Rd Apt 6
Pulaski, NY 13142-4807
Phone
(315) 783-4614
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 061197 NY Primary

Addresses

Primary practice location

20 Scotch Grove Rd Apt 6
Pulaski, NY 13142-4807

Mailing address

20 Scotch Grove Rd Apt 6
Pulaski, NY 13142-4807
Phone (315) 783-4614

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
061197NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1154790053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCOTCH GROVE RD APT 6",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131424807",
            "telephone_number": "315-783-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCOTCH GROVE RD APT 6",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131424807",
            "telephone_number": "315-783-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNDAKER",
        "first_name": "KATHERINE",
        "middle_name": "NANCY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.