MEDICARE: DR. KYLE GREGORY PSILOPOULOS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	19228	NV
2	183500000X	Pharmacist	74434	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19228	OTHER	NV	PHARMACIST STATE LICENSE
2	74434	OTHER	CA	PHARMACIST STATE LICENSE

General Provider Information

NPI Number	:	1972092021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE GREGORY PSILOPOULOS PHARMD

Provider Business Mailing Address
First Line	:	1097 ONNONTIOGA ST
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150-5901
Country	:	US
Telephone Number	:	530-416-2627
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 US HIGHWAY 395 N
Second Line	:
City	:	GARDNERVILLE
State	:	NV
Zip	:	89410-5391
Country	:	US
Telephone Number	:	775-782-7042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	05/03/2018

Similar Medicare Providers

1821107210 — THRIFTY PAYLESS INC
Practice Location Address:

1329 US HIGHWAY 395 NORTH , SUITE 1
GARDNERVILLE, NV
89410-5391

Practice Phone: 775-782-7042
Practice Fax:

1700114410 — WAYNE VEIOCK PHARMD
Practice Location Address:

1329 US HIGHWAY 395 N , #1
GARDNERVILLE, NV
89410-5391

Practice Phone: 775-782-7042
Practice Fax:

1508168030 — DR. DAVID Q WILLIAMS PHARMD
Practice Location Address:

1329 US HIGHWAY 395 N
GARDNERVILLE, NV
89410-5391

Practice Phone: 775-782-7042
Practice Fax:

1871887158 — DANIEL WADE STRATTON PHARMD
Practice Location Address:

1329 US HIGHWAY 395 N
GARDNERVILLE, NV
89410-5391

Practice Phone: 775-782-7042
Practice Fax: 775-782-8479

1376888990 — TAMARA DEGIOVANNI RPH
Practice Location Address:

1329 US HIGHWAY 395 N
GARDNERVILLE, NV
89410-5391

Practice Phone: 775-782-5530
Practice Fax:

1902444763 — DR. BLAIR BARDELMEIER PHARMD
Practice Location Address:

1329 US HIGHWAY 395 N
GARDNERVILLE, NV
89410-5391

Practice Phone: 775-782-7042
Practice Fax:

Directions to “ DR. KYLE GREGORY PSILOPOULOS PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.