Active NPI
Alexander J Micklow, R.PH.
- Pharmacist
- Leechburg, PA
National Provider Identifier
1417030875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP029083L
- Practice address
- 165 Market St
Leechburg, PA 15656-1334 - Phone
- (724) 842-1771
- Fax
- (724) 845-7897
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP029083L | PA | Primary |
Addresses
Primary practice location
165 Market St
Leechburg, PA 15656-1334
Mailing address
165 Market St
Leechburg, PA 15656-1334
Phone (724) 842-1771
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP029083L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heights Prescription Pharmacy, Inc | Past | Accepting new patients | |
| Vandergrift Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Leechburg, PA
- NPI 1669555017
-
- Community/Retail Pharmacy
- Vandergrift, PA
- NPI 1285717637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1417030875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 MARKET ST",
"city": "LEECHBURG",
"state": "PA",
"postal_code": "156561334",
"telephone_number": "724-842-1771",
"fax_number": "724-845-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 MARKET ST",
"city": "LEECHBURG",
"state": "PA",
"postal_code": "156561334",
"telephone_number": "724-842-1771",
"fax_number": "724-845-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKLOW",
"first_name": "ALEXANDER",
"middle_name": "J",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP029083L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leechburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.