Active NPI
Tara Lyn Muzyk, PHARM.D.
- Pharmacist
- Wilmington, NC
National Provider Identifier
1336198019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH021366
- Practice address
- 1705 Gardner Dr
Wilmington, NC 28405-8873 - Phone
- (910) 343-5300
- NPI assigned
- May 9, 2006
- Sex
- Female
- 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 | RPH021366 | GA | Primary |
Addresses
Primary practice location
1705 Gardner Dr
Wilmington, NC 28405-8873
Mailing address
1705 Gardner Dr
Wilmington, NC 28405-8873
Phone (910) 343-5300
Other practice location 1
1700 South Lincoln Ave
Lebanon VAMC
Lebanon, PA 17042
Phone (717) 272-6621 ext. 5356
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | idontknow |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021366 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1336198019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 GARDNER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284058873",
"telephone_number": "910-343-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 GARDNER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284058873",
"telephone_number": "910-343-5300"
}
],
"practiceLocations": [
{
"address_1": "1700 South Lincoln Ave",
"address_2": "Lebanon VAMC",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "17042",
"country_code": "US",
"telephone_number": "717-272-6621 x5356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUZYK",
"first_name": "TARA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH021366",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "idontknow",
"affiliation": "N",
"address_1": "1705 Gardner Dr",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284058873",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.