Individual provider Active NPI

Alexandra Fiss

  • Pharmacist
  • Kennett Square, PA
National Provider Identifier
1134724784
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039491L Issued in PA
Practice address
870 E Baltimore Pike
Kennett Square, PA 19348-1842
Phone
(610) 444-9081
Fax
(610) 444-5700
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP039491L PA Primary

Addresses

Primary practice location

870 E Baltimore Pike
Kennett Square, PA 19348-1842

Mailing address

102 Skyview LN
Avondale, PA 19311-9607
Phone (610) 761-3859

Other practice location 1

102 Skyview Ln
Avondale, PA 19311-9607
Phone (610) 761-3859

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

State licenses

LicenseStateTypeSpecialty
RP039491LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1134724784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SKYVIEW LN",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119607",
            "telephone_number": "610-761-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E BALTIMORE PIKE",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481842",
            "telephone_number": "610-444-9081",
            "fax_number": "610-444-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Skyview Ln",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "PA",
            "postal_code": "193119607",
            "country_code": "US",
            "telephone_number": "610-761-3859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISS",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039491L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.