Andrew Michael Lysogorski

Primary specialty

PharmacistTaxonomy code 183500000X

License

059357 Issued in NY

Practice address

2474 Bailey Ave
Buffalo, NY 14215-3842

Phone

(716) 897-1070

NPI assigned

Jul 12, 2017

Last updated

Jul 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid Pharmacy

  • Pharmacist
  • Buffalo, NY
  • NPI 1508247131
  Authorized official Same address or phone
• Rite Aid of New York Inc

  dba Rite Aid Pharmacy 03733

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)
• Rite Aid of New York Inc

  dba Rite Aid Pharmacy 01511

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1912018151
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1912429861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 DEER LAKES DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142285434",
            "telephone_number": "518-641-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153842",
            "telephone_number": "716-897-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSOGORSKI",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lynch, DMD, PHD
• Sarah Denise Lynch, CASAC-T
• Kevin Lyon, DO
• Stephen M Lyon, D.D.S.
• Jennifer Lyons
• Kristin Erika Lythgoe, D.O.
• M a Stutzman Addiction Treatment Center
• M. Reza Samie MD PLLC
• M. Reza Samie MD PLLC
• Hongjie Ma

• Pharmacist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.