Courtney Carroll Nyitrai, PHARM D
Individual provider Active NPI Pharmacist · Irving, NY
NPI 1609806751 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609806751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 048770-1 (NY)
- Practice address
- TLC Health Network
845 Routes 5 &20
Irving, NY 14081 - Phone
- (716) 951-7000
- Fax
- (716) 951-7185
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048770-1 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048770-1 | NY | Yes |
Addresses
Primary practice location
TLC Health Network
845 Routes 5 &20
Irving, NY 14081
Mailing address
845 Routes 5 & 20
Irving, NY 14081
Phone (716) 951-7000
Other providers in Irving, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.