Active NPI
Michael David Swyryn
- Pharmacist
- Orlando, FL
National Provider Identifier
1275816530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS26058
- Practice address
- 2101 Waterbridge Blvd
Orlando, FL 32837-9283 - Phone
- (407) 393-1002
- Fax
- (407) 393-1010
- NPI assigned
- Sep 23, 2011
- 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 | PS26058 | FL | Primary |
Addresses
Primary practice location
2101 Waterbridge Blvd
Orlando, FL 32837-9283
Mailing address
2101 Waterbridge Blvd
Orlando, FL 32837-9283
Phone (407) 393-1002
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS26058 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costco Wholesale Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1255124269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1275816530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 WATERBRIDGE BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379283",
"telephone_number": "407-393-1002",
"fax_number": "407-393-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 WATERBRIDGE BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379283",
"telephone_number": "407-393-1002",
"fax_number": "407-393-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWYRYN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS26058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.