Alysia Fennig, PHARMD/MBA, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03441299 Issued in OH

Practice address

7643 Ponderosa Rd
Perrysburg, OH 43551-4862

Phone

(419) 661-2200

NPI assigned

Oct 21, 2021

Last updated

Oct 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Westhaven Services Co LLC

  dba Omnicare of Northwest Ohio #48321

  • Long Term Care Pharmacy
  • Perrysburg, OH
  • NPI 1629180906
  NPD (past)

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1720741226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 PONDEROSA RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435514862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 PONDEROSA RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435514862",
            "telephone_number": "419-661-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIG",
        "first_name": "ALYSIA",
        "credential": "PHARMD/MBA, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03441299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Evans, MD
• Monica Marie Evans, LSW
• Jane Marie Extine, PTA
• Jennifer K. Fallon-Delucia, M.D.
• Andrew D. Feltz, O.D.
• Amy Marie Ferris, LPCC
• Jill Fink
• Kelly K. Finney
• Edward Fisher
• Jennifer Louise Fisher, RN,MS,CFNP

• Pharmacist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.