Alisha Ceriale

Key facts

NPI

1023421997

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

RP448286 (PA)

Practice address

113 E Baltimore Ave
Clifton Heights, PA 19018-1603

Phone

(610) 622-3225

NPI assigned

Jun 8, 2014

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2014.

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1023421997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 SAINT JOSEPH DR",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190825429",
            "telephone_number": "610-209-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E BALTIMORE AVE",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190181603",
            "telephone_number": "610-622-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERIALE",
        "first_name": "ALISHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Clifton Heights, PA · Pharmacist in Pennsylvania