Individual provider Active NPI

Alisa Welbourn, PHARMD

  • Pharmacist
  • Orland Park, IL
National Provider Identifier
1821499666
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051298262 Issued in IL
Practice address
15701 S 71St CT Dept of
Orland Park, IL 60462-6800
Phone
(708) 342-9910
Fax
(083) 429-9657
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26025804A IN
Pharmacist 183500000X 051298262 IL Primary

Addresses

Primary practice location

15701 S 71St CT Dept of
Orland Park, IL 60462-6800

Mailing address

15701 S 71St CT
Orland Park, IL 60462-6800
Phone (708) 342-9910

Other names 1

  • Alisa Schwemin 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
051298262ILMDPharmacist
26025804AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1821499666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 S 71ST CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626800",
            "telephone_number": "708-342-9910",
            "fax_number": "708-342-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 S 71ST CT DEPT OF",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626800",
            "telephone_number": "708-342-9910",
            "fax_number": "083-429-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBOURN",
        "first_name": "ALISA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26025804A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051298262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "SCHWEMIN",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.