Individual provider Active NPI

Theresa M Alligood, RPH

  • Pharmacist
  • Lorain, OH
National Provider Identifier
1821365628
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03321840 Issued in OH
Practice address
5411 Leavitt Rd
Lorain, OH 44053-2155
Phone
(440) 960-7225
Fax
(440) 960-7222
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03321840 OH Primary
Pharmacist 183500000X PS34718 FL

Addresses

Primary practice location

5411 Leavitt Rd
Lorain, OH 44053-2155

Mailing address

5411 Leavitt Rd
Lorain, OH 44053-2155
Phone (440) 960-7225

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS34718FLMDPharmacist
03321840OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1821365628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 LEAVITT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532155",
            "telephone_number": "440-960-7225",
            "fax_number": "440-960-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 LEAVITT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532155",
            "telephone_number": "440-960-7225",
            "fax_number": "440-960-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIGOOD",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03321840",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.