Ashley Michelle Fallen

Primary specialty

PharmacistTaxonomy code 183500000X

License

1068504 Issued in NY

Practice address

724 Upper Glen St
Queensbury, NY 12804-2019

Phone

(518) 210-5213

NPI assigned

Nov 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Michelle Fallen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1104582352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BURDEN AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805940",
            "telephone_number": "518-210-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 UPPER GLEN ST",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042019",
            "telephone_number": "518-210-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLEN",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "1068504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "FALLEN",
            "middle_name": "MICHELLE",
            "credential": "PHARMD,RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon T Evellis, PA-C
• Lorraine M Everest, PT
• Eye Care Medicine Surgery PC
• Eyestudiony
• Fredric Ira Fagelman, MD
• Family Dentistry of Dr Jessica Shin, PLLC
• Family Dentistry of Dr Jessica Shin, PLLC
• Julia Marie Fanning, OTR
• Martin S Farber, MD
• Kristy Marie Farmer, DO

• Pharmacist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.