Active NPI
Courtney Lynn Tycz, B.S., R.PH.
- Pharmacist
- Shrewsbury, MA
National Provider Identifier
1376905067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH24366
- Practice address
- 50 Boston Tpke
Shrewsbury, MA 01545-3540 - Phone
- (508) 363-0057
- Fax
- (508) 363-1834
- NPI assigned
- Mar 22, 2016
- 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 | PH24366 | MA | Primary |
Addresses
Primary practice location
50 Boston Tpke
Shrewsbury, MA 01545-3540
Mailing address
50 Boston Tpke
Shrewsbury, MA 01545-3540
Phone (508) 363-0057
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH24366 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1376905067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BOSTON TPKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453540",
"telephone_number": "508-363-0057",
"fax_number": "508-363-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BOSTON TPKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453540",
"telephone_number": "508-363-0057",
"fax_number": "508-363-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYCZ",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "B.S., R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.