Active NPI
Lisa N McKay, R.PH., BCGP
- Pharmacist
- Pittsford, NY
National Provider Identifier
1356445662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I-042009
- Practice address
- Walgreens #19495
635 Pittsford Victor Rd
Pittsford, NY 14534 - Phone
- (585) 248-2770
- NPI assigned
- Sep 8, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7009 | SC | |
| Pharmacist | 183500000X | 42009 | NY | |
| Pharmacist | 183500000X | 042009 | NY | |
| Geriatric Pharmacist | 1835G0303X | 9103724 | DC | |
| Pharmacist | 183500000X | I-042009 | NY | Primary |
Addresses
Primary practice location
Walgreens #19495
635 Pittsford Victor Rd
Pittsford, NY 14534
Mailing address
Walgreens #19495
635 Pittsford Victor Rd
Pittsford, NY 14534-3921
Phone (585) 248-2770
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9103724 | Other | BPS CERTIFICATION IN GERIATRIC PHARMACY | |
| 02917926 | Medicaid | NY | |
| I-042009 | Other | NY | RPH LICENSE |
| 7009 | Other | SC | RPH LICENSE |
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 |
|---|---|---|---|
| 42009 | NY | MD | Dentist |
| I-042009 | NY | MD | Pharmacist |
| 9103724 | DC | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livonia Lakeville Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Livonia Pharmacy
- Community/Retail Pharmacy
- Lakeville, NY
- NPI 1689736746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1356445662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WALGREENS #19495",
"address_2": "635 PITTSFORD VICTOR RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145343921",
"telephone_number": "585-248-2770",
"fax_number": "585-248-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALGREENS #19495",
"address_2": "635 PITTSFORD VICTOR RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "14534",
"telephone_number": "585-248-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "LISA",
"middle_name": "N",
"credential": "R.PH., BCGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2025-03-07",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "7009",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "42009",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042009",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "DC",
"license": "9103724",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I-042009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BPS CERTIFICATION IN GERIATRIC PHARMACY",
"identifier": "9103724",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02917926",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE",
"identifier": "I-042009",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE",
"identifier": "7009",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.