Individual provider Active NPI

Alicia Marie Vansickel, PHARMD

  • Pharmacist
  • Steubenville, OH
National Provider Identifier
1750734828
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0009766 Issued in WV
Practice address
4402 Sunset Blvd
Steubenville, OH 43952-3423
Phone
(740) 264-0611
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0009766 WV Primary

Addresses

Primary practice location

4402 Sunset Blvd
Steubenville, OH 43952-3423

Mailing address

401 Moran Ave
Mullens, WV 25882-1430
Phone (304) 294-0343

Other practice location 1

401 Moran Ave
Mullens, WV 25882-1430
Phone (304) 294-0343

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

LicenseStateTypeSpecialty
RP0009766WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1750734828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MORAN AVE",
            "city": "MULLENS",
            "state": "WV",
            "postal_code": "258821430",
            "telephone_number": "304-294-0343",
            "fax_number": "304-294-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439523423",
            "telephone_number": "740-264-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Moran Ave",
            "address_purpose": "LOCATION",
            "city": "Mullens",
            "state": "WV",
            "postal_code": "258821430",
            "country_code": "US",
            "telephone_number": "304-294-0343",
            "fax_number": "304-294-7503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSICKEL",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0009766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.