Active NPI
Alicia Cristina Simale, PHARMD
- Pharmacist
- Highland, IN
National Provider Identifier
1386262822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26027401A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051300734 | IL | MD | Pharmacist |
| 26027401A | IN | MD | Pharmacist |
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.