Alissa Tilger
Individual provider Active NPI Pharmacist · Export, PA
NPI 1316521024 · NPPES record last updated May 9, 2021
Key facts
- NPI
- 1316521024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP440892 (PA)
- Practice address
- 4810 Old William Penn Hwy
Export, PA 15632-9469 - Phone
- (724) 327-5493
- NPI assigned
- May 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RP440892 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP440892 | PA | Yes |
Addresses
Primary practice location
4810 Old William Penn Hwy
Export, PA 15632-9469
Mailing address
4810 Old William Penn Hwy
Export, PA 15632-9469
Phone (724) 327-5493
Other providers in Export, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 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.