Active NPI
David Anthony Tylavsky
- Pharmacist
- New Alexandria, PA
National Provider Identifier
1710656475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP448672
- Practice address
- 8279 State Route 22 Ste 10
New Alexandria, PA 15670-3155 - Phone
- (724) 668-2284
- NPI assigned
- Sep 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP448672 | PA | Primary |
Addresses
Primary practice location
8279 State Route 22 Ste 10
New Alexandria, PA 15670-3155
Mailing address
PO Box 364
New Alexandria, PA 15670-0364
Phone (724) 668-2284
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP448672 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twinsrx LLC | Current | Accepting new patients | |
| Twinsrx LLC | Past | Accepting new patients |
Locations
8279 State Route 22
Ste 10
New Alexandria, PA 15670
Phone (724) 668-2284
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": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710028800000",
"number": "1710656475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 364",
"city": "NEW ALEXANDRIA",
"state": "PA",
"postal_code": "156700364",
"telephone_number": "724-668-2284",
"fax_number": "724-662-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8279 STATE ROUTE 22 STE 10",
"city": "NEW ALEXANDRIA",
"state": "PA",
"postal_code": "156703155",
"telephone_number": "724-668-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLAVSKY",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-07",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP448672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Alexandria, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.