Active NPI
Alisa Shields, PHARMD
- Pharmacist
- Coralville, IA
National Provider Identifier
1306496104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18462
- Practice address
- 2801 Commerce Dr
Coralville, IA 52241-2757 - Phone
- (319) 545-6412
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18462 | IA | Primary |
Addresses
Primary practice location
2801 Commerce Dr
Coralville, IA 52241-2757
Mailing address
135 Cambridge Way
North Liberty, IA 52317-8011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18462 | Other | IA | IOWA BOARD OF PHARMACY |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18462 | IA | MD | Pharmacist |
Interoperability endpoints
- ashields202251@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1306496104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 CAMBRIDGE WAY",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523178011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 COMMERCE DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412757",
"telephone_number": "319-545-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ALISA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA BOARD OF PHARMACY",
"identifier": "18462",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.