Active NPI
Allison Marie Wieser, RPH
- Pharmacist
- Demotte, IN
National Provider Identifier
1518242833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019259A
- Practice address
- 226 N Halleck St
Demotte, IN 46310-8633 - Phone
- (219) 987-4900
- NPI assigned
- Oct 18, 2011
- Last updated
- Oct 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019259A | IN | Primary |
Addresses
Primary practice location
226 N Halleck St
Demotte, IN 46310-8633
Mailing address
292 Larwick Cir
Valparaiso, IN 46385-9305
Phone (219) 476-1637
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 |
|---|---|---|---|
| 26019259A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1518242833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 LARWICK CIR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463859305",
"telephone_number": "219-476-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 N HALLECK ST",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463108633",
"telephone_number": "219-987-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESER",
"first_name": "ALLISON",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019259A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.