Alexis Michelle Chrystal, PHARMD
Individual provider Active NPI Pharmacist · Lake Milton, OH
NPI 1639720170 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1639720170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03439116 (OH)
- Practice address
- 17674 Mahoning Ave
Lake Milton, OH 44429-9582 - Phone
- (330) 654-3792
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 03439116 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wexco LTD | Pharmacist | Current | Accepting new patients |
| Rite Aid of Ohio Inc | Past |
Accepting new patients |
Locations
17674 Mahoning Ave
Lake Milton, OH 44429
Phone (330) 654-3339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03439116 | OH | Yes |
Addresses
Primary practice location
17674 Mahoning Ave
Lake Milton, OH 44429-9582
Mailing address
7006 Fairview Rd
Austintown, OH 44515-4317
Other providers in Lake Milton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. 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.