Individual provider Active NPI

Alix Pandolfino Schnibben, PHARM D

  • Pharmacist
  • Gainesville, GA
National Provider Identifier
1811275035
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13321 Issued in SC
Practice address
3137 Frontage Rd
Gainesville, GA 30504-8210
Phone
(912) 819-8407
NPI assigned
Jul 22, 2011
Last updated
Jan 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202210824 VA
Pharmacist 183500000X RPH029013 GA
Pharmacist 183500000X 13321 SC Primary

Addresses

Primary practice location

3137 Frontage Rd
Gainesville, GA 30504-8210

Mailing address

836 E 65TH St
Medical Arts #4
Savannah, GA 31405-4434
Phone (912) 819-8407

Other names 1

  • Dr. Alix Minor Pandolfino Former name

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
RPH029013GAMDPharmacist
13321SCMDPharmacist
0202210824VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1811275035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST",
            "address_2": "MEDICAL ARTS #4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054434",
            "telephone_number": "912-819-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 FRONTAGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305048210",
            "telephone_number": "912-819-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNIBBEN",
        "first_name": "ALIX",
        "middle_name": "PANDOLFINO",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210824",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029013",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIX",
            "last_name": "PANDOLFINO",
            "middle_name": "MINOR",
            "prefix": "DR.",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.