Provider Demographics
NPI:1205210291
Name:MYERS OSHEA, BRITTANY AISLYNN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:AISLYNN
Last Name:MYERS OSHEA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ROUTE 32 384 WINDSOR HWY
Mailing Address - Street 2:
Mailing Address - City:VAILS GATE
Mailing Address - State:NY
Mailing Address - Zip Code:12584
Mailing Address - Country:US
Mailing Address - Phone:845-863-1051
Mailing Address - Fax:
Practice Address - Street 1:31 CAVALRY DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5201
Practice Address - Country:US
Practice Address - Phone:845-634-3341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1205210291Medicaid