Individual provider Active NPI

Alicia Cristina Simale, PHARMD

  • Pharmacist
  • Highland, IN
National Provider Identifier
1386262822
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26027401A Issued in IN
Practice address
2401 Ridge Rd
Highland, IN 46322-1565
Phone
(219) 838-1414
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051300734 IL
Pharmacist 183500000X 26027401A IN Primary

Addresses

Primary practice location

2401 Ridge Rd
Highland, IN 46322-1565

Mailing address

2765 Chateau Dr
Dyer, IN 46311-2173
Phone (219) 433-5955

Other names 1

  • Alicia Cristina Montelongo Former 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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051300734ILMDPharmacist
26027401AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1386262822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 CHATEAU DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112173",
            "telephone_number": "219-433-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221565",
            "telephone_number": "219-838-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMALE",
        "first_name": "ALICIA",
        "middle_name": "CRISTINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300734",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26027401A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MONTELONGO",
            "middle_name": "CRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.