Active NPI
Alexandra Pamela Otto, PHARMD
- Pharmacist
- Charleston, SC
National Provider Identifier
1689405094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH.60285
- Practice address
- 10 Westedge St Ste 1000
Charleston, SC 29403-6546 - Phone
- (843) 720-7000
- NPI assigned
- Aug 8, 2024
- 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 | PH.60285 | SC | Primary |
Addresses
Primary practice location
10 Westedge St Ste 1000
Charleston, SC 29403-6546
Mailing address
51 Timmerman Dr
Charleston, SC 29407-7321
Phone (561) 445-4757
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 |
|---|---|---|---|
| PH.60285 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1689405094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 TIMMERMAN DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077321",
"telephone_number": "561-445-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WESTEDGE ST STE 1000",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294036546",
"telephone_number": "843-720-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "ALEXANDRA",
"middle_name": "PAMELA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "PH.60285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.