Active NPI
Alexis Marie Plourde
- Pharmacist
- New Richmond, WI
National Provider Identifier
1730890302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21335-40
- Practice address
- 110 W 4TH St
New Richmond, WI 54017-1722 - Phone
- (715) 246-2186
- NPI assigned
- Dec 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21335-40 | WI | Primary |
| Pharmacist | 183500000X | 125723 | MN |
Addresses
Primary practice location
110 W 4TH St
New Richmond, WI 54017-1722
Mailing address
110 W 4TH St
New Richmond, WI 54017-1722
Phone (715) 246-2186
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125723 | MN | MD | Pharmacist |
| 21335-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1730890302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 4TH ST",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171722",
"telephone_number": "715-246-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 4TH ST",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171722",
"telephone_number": "715-246-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOURDE",
"first_name": "ALEXIS",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "21335-40",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125723",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.