Individual provider Active NPI

Alisa Lo Franco

  • Pharmacist
  • Kenilworth, NJ
National Provider Identifier
1366978397
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RIO2948800 Issued in NJ
Practice address
21 N 20TH St
Kenilworth, NJ 07033-1613
Phone
(908) 705-5911
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RIO2948800 NJ Primary

Addresses

Primary practice location

21 N 20TH St
Kenilworth, NJ 07033-1613

Mailing address

21 N 20TH St
Kenilworth, NJ 07033-1613
Phone (908) 705-5911

Other names 1

  • Alisa Petruso Other name

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

State licenses

LicenseStateTypeSpecialty
28RIO2948800NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1366978397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 20TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331613",
            "telephone_number": "908-705-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 20TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331613",
            "telephone_number": "908-705-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO FRANCO",
        "first_name": "ALISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RIO2948800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "PETRUSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenilworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.