Joyce Kryszak Tischler, RPH
Individual provider Active NPI Pharmacist · Derby, NY
NPI 1851574412 · NPPES record last updated Dec 6, 2007
Key facts
- NPI
- 1851574412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 034972 (NY)
- Practice address
- 6939 Erie Rd
Derby, NY 14047-9406 - Phone
- (716) 947-5066
- NPI assigned
- Dec 6, 2007
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034972 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 034972 | NY | Yes |
Addresses
Primary practice location
6939 Erie Rd
Derby, NY 14047-9406
Mailing address
6370 Versailles Rd
Lake View, NY 14085-9550
Phone (716) 627-9858
NPI Registry JSON
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1851574412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6370 VERSAILLES RD",
"city": "LAKE VIEW",
"state": "NY",
"postal_code": "140859550",
"telephone_number": "716-627-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6939 ERIE RD",
"city": "DERBY",
"state": "NY",
"postal_code": "140479406",
"telephone_number": "716-947-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISCHLER",
"first_name": "JOYCE",
"middle_name": "KRYSZAK",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2007. 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.