Individual provider Active NPI

Olga Blyshchyk, PHARMD

  • Pharmacist
  • Snohomish, WA
National Provider Identifier
1376163352
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60972863 Issued in WA
Practice address
205 Pine Ave
Snohomish, WA 98290-2539
Phone
(360) 563-0223
NPI assigned
Apr 20, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60972863 WA Primary

Addresses

Primary practice location

205 Pine Ave
Snohomish, WA 98290-2539

Mailing address

9724 50TH PL W
Mukilteo, WA 98275-4214

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address olga.blyshchyk@riteaid.com

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
PH60972863WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1376163352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 50TH PL W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PINE AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902539",
            "telephone_number": "360-563-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYSHCHYK",
        "first_name": "OLGA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60972863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olga.blyshchyk@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "205 Pine Ave",
            "city": "Snohomish",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982902539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.