Ashley Lynn Mundrick, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

057588 Issued in NY

Practice address

9553 Main St
Holland Patent, NY 13354-3802

Phone

(315) 865-8141

Fax

(315) 865-4318

NPI assigned

Nov 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• ER Black Pharmacy Inc

  • Pharmacy
  • Holland Patent, NY
  • NPI 1467519009
  NPD (past)
• RK Patel Corporation

  • Community/Retail Pharmacy
  • Yorkville, NY
  • NPI 1407961444
  NPD (past)
• Shreya RX, Inc

  • Community/Retail Pharmacy
  • Yorkville, NY
  • NPI 1427211929
  NPD (past)

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376897066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 KNIGHT RD",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134562504",
            "telephone_number": "315-404-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9553 MAIN ST",
            "city": "HOLLAND PATENT",
            "state": "NY",
            "postal_code": "133543802",
            "telephone_number": "315-865-8141",
            "fax_number": "315-865-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Oriskany Blvd",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "NY",
            "postal_code": "134951330",
            "country_code": "US",
            "telephone_number": "315-768-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDRICK",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "057588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna M Fox, SPEECH THERAPIST
• Holland Patent Central School District
• Lisa Anne Kimball
• Tracy Leanne-Basi, RN
• Ashley H Leclair, LCSW
• Julia E Newman, LPN
• John Noviasky, PHARMD
• Theresa Ann Oleski, CCC/SLP
• Lorenza M Parzych, MS SPECIAL EDUCATION
• Jason Patterson

• Pharmacist in Holland Patent, NY
• Providers in Holland Patent, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.