Alyssa Bendickson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22215 Issued in IA

Practice address

1201 12TH Ave SW
Le Mars, IA 51031-3055

Phone

(712) 548-4503

Fax

(712) 546-4463

NPI assigned

Dec 23, 2019

Last updated

Dec 23, 2019By the provider in NPPES

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 identifiers 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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1225677156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 12TH AVE SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313055",
            "telephone_number": "712-548-4503",
            "fax_number": "712-546-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 12TH AVE SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313055",
            "telephone_number": "712-548-4503",
            "fax_number": "712-546-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDICKSON",
        "first_name": "ALYSSA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "22215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22215",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Beyond Chiropractic LLC

• Pharmacist in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.