Alex Blake Eberhart, PHARMD
Individual provider Active NPI Pharmacist · Palmyra, PA
NPI 1356152243 · NPPES record last updated Jul 9, 2025
Key facts
- NPI
- 1356152243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP459351 (PA)
- Practice address
- 100 N Londonderry SQ
Palmyra, PA 17078-3904 - Phone
- (717) 838-7761
- NPI assigned
- Jan 18, 2025
- Sex
- Male
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-102462 | NY | MD | Pharmacist |
| RP459351 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past |
Accepting new patients | |
| Eckerd Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20-102462 | NY | |
| Pharmacist | 183500000X | RP459351 | PA | Yes |
Addresses
Primary practice location
100 N Londonderry SQ
Palmyra, PA 17078-3904
Mailing address
100 N Londonderry SQ
Palmyra, PA 17078-3904
Other providers in Palmyra, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2025. 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.