Individual provider Active NPI

Alicia Shontz, PHARMD

  • Pharmacist
  • Erie, PA
National Provider Identifier
1407456221
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03135869 Issued in OH
Practice address
1825 Downs Dr
Erie, PA 16509-7303
Phone
(412) 977-7359
Fax
(814) 864-8190
NPI assigned
Oct 30, 2020
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03135869 OH Primary

Addresses

Primary practice location

1825 Downs Dr
Erie, PA 16509-7303

Mailing address

5439 Swanville Rd
Erie, PA 16506-1232
Phone (412) 977-7359

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL a0s0blu.s02278@wal-mart.com

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
03135869OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407456221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 SWANVILLE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061232",
            "telephone_number": "412-977-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 DOWNS DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165097303",
            "telephone_number": "412-977-7359",
            "fax_number": "814-864-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONTZ",
        "first_name": "ALICIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2025-09-11",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "a0s0blu.s02278@wal-mart.com",
            "affiliation": "N",
            "address_1": "1825 Downs Dr",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165097303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.