Individual provider Active NPI

Alexandria D Kamilaris, RPH

  • Pharmacist
  • Sylvania, OH
National Provider Identifier
1497039788
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-2-19483 Issued in OH
Practice address
5656 Country Lake CT
Sylvania, OH 43560
Phone
(419) 882-2202
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-2-19483 OH Primary

Addresses

Primary practice location

5656 Country Lake CT
Sylvania, OH 43560

Mailing address

5656 Country Lake CT
Sylvania, OH 43560-9557
Phone (419) 882-2202

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

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1497039788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 COUNTRY LAKE CT",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609557",
            "telephone_number": "419-882-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 COUNTRY LAKE CT",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMILARIS",
        "first_name": "ALEXANDRIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-19483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.