Healthcare Provider Details

I. General information

NPI: 1235066382
Provider Name (Legal Business Name): KAYLA WESLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SOUTHWOODS BLVD STE 17
ALBANY NY
12211-2564
US

IV. Provider business mailing address

95 E MAIN ST
JOHNSTOWN NY
12095-2628
US

V. Phone/Fax

Practice location:
  • Phone: 518-292-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0206X
TaxonomyCardiology Pharmacist
License Number073155
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: