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

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.

See every abbreviation used in this directory →

Practice location Address checks out

6265 Brockport Spencerport Rd
Brockport, NY 14420-2605
Phone: (585) 637-2341
Fax: (585) 637-9914
Show map & directions

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

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