Individual provider Active NPI

Lylah Morone

  • Pharmacist
  • East Greenbush, NY
National Provider Identifier
1619636313
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047642 Issued in NY
Practice address
614 Columbia Tpke
East Greenbush, NY 12061-1610
Phone
(518) 479-4230
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047642 NY Primary

Addresses

Primary practice location

614 Columbia Tpke
East Greenbush, NY 12061-1610

Mailing address

14 Willow St
Castleton, NY 12033-1521
Phone (518) 269-1592

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Walgreens

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

State licenses

LicenseStateTypeSpecialty
047642NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1619636313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILLOW ST",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120331521",
            "telephone_number": "518-269-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 COLUMBIA TPKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611610",
            "telephone_number": "518-479-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORONE",
        "first_name": "LYLAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walgreens",
            "affiliation": "N",
            "address_1": "614 Columbia Tpke",
            "city": "East Greenbush",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120611610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.