Active NPI
Elaine Marie Lyszczarz, RPH
- Pharmacist
- Whitesboro, NY
National Provider Identifier
1821357658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037713
- Practice address
- 100 Main St
Whitesboro, NY 13492-1027 - Phone
- (315) 768-7470
- Fax
- (315) 768-2383
- NPI assigned
- May 14, 2012
- Sex
- Female
- 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 | 037713 | NY | Primary |
Addresses
Primary practice location
100 Main St
Whitesboro, NY 13492-1027
Mailing address
10433 Turnpike Rd
Utica, NY 13502-6821
Phone (315) 732-5642
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
| License | State | Type | Specialty |
|---|---|---|---|
| 037713 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1821357658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10433 TURNPIKE RD",
"city": "UTICA",
"state": "NY",
"postal_code": "135026821",
"telephone_number": "315-732-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921027",
"telephone_number": "315-768-7470",
"fax_number": "315-768-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYSZCZARZ",
"first_name": "ELAINE",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-14",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitesboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.