Alicia Davister, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18448-40 Issued in WI

Practice address

924 N Taylor Dr
Sheboygan, WI 53081-4202

Phone

(920) 547-2610

NPI assigned

Feb 6, 2020

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

• Alicia Erdman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194357392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16823 NACHTWEY RD",
            "city": "MARIBEL",
            "state": "WI",
            "postal_code": "542279755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814202",
            "telephone_number": "920-547-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISTER",
        "first_name": "ALICIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18448-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alicia.davister@meijer.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "address_1": "924 N Taylor Dr",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530814202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "ERDMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Zhao Dandrow
• Timothy Wayne Danielson, RPH
• Robert Patrick Darling, DDS
• David Blong S Lee DDS SC
• Carolyn A.H. Davis, LPC-IT
• Kelly Dawson, APNP
• Abigail Day
• Susan Katherine Anne De Shazer, LMT, CLT, MLD
• Anne Deardorff, RN
• Elizabeth Debbink, LPC-IT

• Pharmacist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.