Ivy Wyszynski, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

14828 Issued in CO

Practice address

200 Kent LNDG
Stevensville, MD 21666-2582

Phone

(410) 643-9600

NPI assigned

Feb 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1689033391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 TASKER LN",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210123008",
            "telephone_number": "254-289-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KENT LNDG",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662582",
            "telephone_number": "410-643-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSZYNSKI",
        "first_name": "IVY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23919",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207535",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042416L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41126",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "14828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Walton, MS, CNS, LDN
• Mariangela J Weiskopf, LCPC
• Lauren Elizabeth Wheaton, LMFT
• Denise Whiting Whiting, RN
• Wye Oak Therapeutic Services, LLC
• Yahweh Health, P.C.
• Jasmine Yandoc, LMSW
• Rebecca Ann Yetton
• Trevor Rishawn Marquis York, M.D.

• Pharmacist in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.