Individual provider Active NPI

Alison M Oen, PHARMD

  • Pharmacist
  • Saint Croix Falls, WI
National Provider Identifier
1093288706
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19130-40 Issued in WI
Practice address
2212 Glacier Dr
Saint Croix Falls, WI 54024-8347
Phone
(715) 483-1499
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 123565 MN
Pharmacist 183500000X 19130-40 WI Primary

Addresses

Primary practice location

2212 Glacier Dr
Saint Croix Falls, WI 54024-8347

Mailing address

2212 Glacier Dr
Saint Croix Falls, WI 54024-8347

Other identifiers 2

IdentifierTypeStateIssuer
123565OtherMNMN RPH LICENSE
19130-40OtherWIWI RPH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
123565MNMDPharmacist
19130-40WIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1093288706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 GLACIER DR",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540248347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 GLACIER DR",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540248347",
            "telephone_number": "715-483-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEN",
        "first_name": "ALISON",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123565",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19130-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN RPH LICENSE",
            "identifier": "123565",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI RPH LICENSE",
            "identifier": "19130-40",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Croix Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.