Individual provider Active NPI

Troy Lizyness, RPH

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1639696974
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS34047 Issued in FL
Practice address
2354 Commerce Park Dr Ste 100
Orlando, FL 32819-8601
Phone
(877) 627-6337
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302030449 MI
Pharmacist 183500000X PS34047 FL Primary

Addresses

Primary practice location

2354 Commerce Park Dr Ste 100
Orlando, FL 32819-8601

Mailing address

9573 Lavill LN
Windermere, FL 34786-8315
Phone (313) 920-3023

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
PS34047FLMDPharmacist
5302030449MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Performspecialty, LLC Current Accepting new patients
Performspecialty, LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1639696974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9573 LAVILL LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868315",
            "telephone_number": "313-920-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 COMMERCE PARK DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198601",
            "telephone_number": "877-627-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZYNESS",
        "first_name": "TROY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302030449",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.