Active NPI
Alyssa Marie Nobel, PHARMD
- Pharmacist
- East Amherst, NY
National Provider Identifier
1639650377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064324
- Practice address
- 320 Shoreline Pkwy Apt 306
East Amherst, NY 14051-2288 - Phone
- (845) 943-0091
- NPI assigned
- Aug 21, 2018
- 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 | 064324 | NY | Primary |
Addresses
Primary practice location
320 Shoreline Pkwy Apt 306
East Amherst, NY 14051-2288
Mailing address
320 Shoreline Pkwy Apt 306
East Amherst, NY 14051-2288
Phone (845) 943-0091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064324 | Other | NY | LICENSE |
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 |
|---|---|---|---|
| 064324 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1639650377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SHORELINE PKWY APT 306",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512288",
"telephone_number": "845-943-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SHORELINE PKWY APT 306",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512288",
"telephone_number": "845-943-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBEL",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "064324",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.