Individual provider Active NPI

Anne C. Hallisy, RPH

  • Pharmacist
  • Euclid, OH
National Provider Identifier
1194047464
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03318530 Issued in OH
Practice address
26251 Bluestone Blvd Ste 1
Euclid, OH 44132-2826
Phone
(216) 242-0000
Fax
(877) 953-2494
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03318530 OH Primary

Addresses

Primary practice location

26251 Bluestone Blvd Ste 1
Euclid, OH 44132-2826

Mailing address

26251 Bluestone Blvd Ste 1
Euclid, OH 44132-2826
Phone (216) 242-0000

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03318530OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Remedi Seniorcare Past Accepting new patients
Remedi Seniorcare of Ohio-Northeast LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1194047464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26251 BLUESTONE BLVD STE 1",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322826",
            "telephone_number": "216-242-0000",
            "fax_number": "877-953-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26251 BLUESTONE BLVD STE 1",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322826",
            "telephone_number": "216-242-0000",
            "fax_number": "877-953-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLISY",
        "first_name": "ANNE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03318530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.