Alex Victor Zimmerman, PHARM D
Individual provider Active NPI Pharmacist · New Salisbury, IN
NPI 1083009377 · NPPES record last updated Apr 2, 2015
Key facts
- NPI
- 1083009377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26024724A (IN)
- Practice address
- 1673 Highway 64 NE
New Salisbury, IN 47161-8439 - Phone
- (812) 347-3188
- Fax
- (812) 347-3078
- NPI assigned
- Apr 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26024724A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024724A | IN | Yes |
Addresses
Primary practice location
1673 Highway 64 NE
New Salisbury, IN 47161-8439
Mailing address
8521 Highway 62 NE
Lanesville, IN 47136-8755
Phone (812) 738-9518
Other providers in New Salisbury, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.