Alex Taylor Ponce, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RP0013168 Issued in WV

Practice address

1 Medical Center Drive
Dept of Pharmaceutical Services
Morgantown, WV 26506

Phone

(304) 598-4148

Fax

(304) 598-4073

NPI assigned

Aug 23, 2022

Sex

Male

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

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1356060396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 OLEY FURNACE RD",
            "city": "OLEY",
            "state": "PA",
            "postal_code": "195479258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "address_2": "DEPT OF PHARMACEUTICAL SERVICES",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-598-4148",
            "fax_number": "304-598-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "ALEX",
        "middle_name": "TAYLOR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "RP0013168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Rachelle Poletti, RN, CRNA
• Desiree Rebecca Poling, SLP
• Erika Poling, APRN
• Kayla Marie Poling
• Mark Alan Poling, M.D.
• Trenton Pongsugree, PHARMD
• Alexa Mackenzie Ponick
• Shashank Ponugoti, MD
• Hannah Nicole Poole
• Hope Poole

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.