Active NPI
Alissa Hannus, PHARMD
- Pharmacist
- Appleton, WI
National Provider Identifier
1467054601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19312-40
- Practice address
- 3801 N Richmond St
Appleton, WI 54913-9631 - Phone
- (920) 350-6210
- Fax
- (920) 350-6265
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 19312-40 | WI | Primary |
Addresses
Primary practice location
3801 N Richmond St
Appleton, WI 54913-9631
Mailing address
3801 N Richmond St
Appleton, WI 54913-9631
Phone (920) 350-6210
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | alissa.hannus@meijer.om |
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 |
|---|---|---|---|
| 19312-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1467054601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 N RICHMOND ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139631",
"telephone_number": "920-350-6210",
"fax_number": "920-350-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 N RICHMOND ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139631",
"telephone_number": "920-350-6210",
"fax_number": "920-350-6265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNUS",
"first_name": "ALISSA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WI",
"license": "19312-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "alissa.hannus@meijer.om",
"affiliation": "N",
"address_1": "3801 N Richmond St",
"city": "Appleton",
"state": "WI",
"country_code": "US",
"postal_code": "549139631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.