Individual provider Active NPI

Gregory John Lytwak, R.PH.

  • Pharmacist
  • Torrance, PA
National Provider Identifier
1619084688
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP030147L Issued in PA
Practice address
S.R. 1014 Torrance Road Renner Building.
Torrance, PA 15799
Phone
(724) 459-4522
Fax
(724) 459-4415
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP030147L PA Primary

Addresses

Primary practice location

S.R. 1014 Torrance Road Renner Building.
Torrance, PA 15799

Mailing address

Renner BLD Basement
220 Reservior Drive
Torrance, PA 15799
Phone (724) 459-4522

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP030147LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1619084688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RENNER BLD BASEMENT",
            "address_2": "220 RESERVIOR DRIVE",
            "city": "TORRANCE",
            "state": "PA",
            "postal_code": "15799",
            "telephone_number": "724-459-4522",
            "fax_number": "749-459-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S.R. 1014 TORRANCE ROAD RENNER BUILDING.",
            "city": "TORRANCE",
            "state": "PA",
            "postal_code": "15799",
            "telephone_number": "724-459-4522",
            "fax_number": "724-459-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTWAK",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP030147L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.