Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krystal A Wallis, PHARMD

Individual provider Pharmacist · NPI 1720334329

Krystal A Wallis, PHARMD is a Pharmacist in Brockport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

6265 Brockport Spencerport Rd
Brockport, NY 14420-2605
Phone: (585) 637-2341
Fax: (585) 637-9914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 057053 (NY)

Record details

NPI number1720334329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 1, 2012
Last updated in NPPESJune 5, 2013
Mailing address6265 Brockport Spencerport Rd, Brockport, NY 14420-2605

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