Lycorx LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LYCORX LLC

Practice address

33 W 3Rd St
Williamsport, PA 17701-6523

Phone

(570) 429-3505

Fax

(570) 429-3506

NPI assigned

Jan 2, 2022

Organization subpart

No

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

Authorized official

Name

Ann Marie Takacs

Title

RPH

Phone

(908) 458-8710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1194486290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FIRST RESPONDERS WAY",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086911904",
            "telephone_number": "609-606-7000",
            "fax_number": "609-228-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016523",
            "telephone_number": "570-429-3505",
            "fax_number": "570-429-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYCORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "TAKACS",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "908-458-8710"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.