Alexis Erika Jeschonnek
Individual provider Active NPI Pharmacist · Oley, PA
NPI 1265025993 · NPPES record last updated Feb 13, 2021
Key facts
- NPI
- 1265025993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PI123366 (PA)
- Practice address
- 61 Kings PLZ
Oley, PA 19547-8718 - Phone
- (610) 987-9877
- Fax
- (610) 987-3614
- NPI assigned
- Feb 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI123366 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past |
Accepting new patients | |
| Weis Markets Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PI123366 | PA | Yes |
Addresses
Primary practice location
61 Kings PLZ
Oley, PA 19547-8718
Mailing address
4818 Briarwood Cir
Reading, PA 19606-2482
Other providers in Oley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.