Active NPI
Alexa Sidney Lake, CPHT
- Pharmacy Technician
- Pittsburgh, PA
National Provider Identifier
1154093680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30173283
- Practice address
- 5 Penn Ctr W Ste 200
Pittsburgh, PA 15276-0126 - Phone
- (412) 885-5864
- NPI assigned
- Oct 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30173283 | PA | Primary |
Addresses
Primary practice location
5 Penn Ctr W Ste 200
Pittsburgh, PA 15276-0126
Mailing address
5 Penn Ctr W Ste 200
Pittsburgh, PA 15276-0126
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30173283 | PA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1154093680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PENN CTR W STE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152760126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PENN CTR W STE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152760126",
"telephone_number": "412-885-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "ALEXA",
"middle_name": "SIDNEY",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-03",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PA",
"license": "30173283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.