Active NPI
Alyssa Jean Kostecky, PHARMD
- Pharmacist
- Hamburg, NY
National Provider Identifier
1538821970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068420
- Practice address
- 7182 Boston State Rd
Hamburg, NY 14075-6933 - Phone
- (716) 648-1610
- NPI assigned
- Oct 13, 2021
- 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 | 068420 | NY | Primary |
Addresses
Primary practice location
7182 Boston State Rd
Hamburg, NY 14075-6933
Mailing address
501 Girard Ave
East Aurora, NY 14052-1439
Phone (716) 392-0841
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 |
|---|---|---|---|
| 068420 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Pharmacy
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- NPI 1942309208
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
-
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1538821970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 GIRARD AVE",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140521439",
"telephone_number": "716-392-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7182 BOSTON STATE RD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140756933",
"telephone_number": "716-648-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTECKY",
"first_name": "ALYSSA",
"middle_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.