Alexandria Monique Landaverde, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

P9427 Issued in ID

Practice address

1620 N Whitley Dr
Fruitland, ID 83619-2129

Phone

(208) 452-7075

NPI assigned

Jul 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Prescription Pad LLC

  • Community/Retail Pharmacy
  • Fruitland, ID
  • NPI 1891102653
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1205409158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 S THORNWOOD WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423530",
            "telephone_number": "541-212-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N WHITLEY DR",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192129",
            "telephone_number": "208-452-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAVERDE",
        "first_name": "ALEXANDRIA",
        "middle_name": "MONIQUE",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Robert Kramer, PHARMD
• Lacey Mackenzie Counseling
• Shawna Lafollette
• Lake Counseling Services, LLC
• Eddie Lamm, HIS
• Larsen Counseling PLLC
• Frankie Diane Larsen, LCSW
• Maxfield Roy Lawrence, PA-C
• Chelsie M Lewis, FNP
• Jonathan Jay Lindsey, DC

• Pharmacist in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.