Active NPI
Alisa Boyette Ortman, RPH
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1831485622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7525
- Practice address
- 2221 Cloverdale Ave
Winston Salem, NC 27103-2301 - Phone
- (336) 724-7491
- NPI assigned
- Jun 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7525 | NC | Primary |
Addresses
Primary practice location
2221 Cloverdale Ave
Winston Salem, NC 27103-2301
Mailing address
609 Valley Brook LN
Winston Salem, NC 27104-2732
Phone (336) 765-0831
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7525 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1831485622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 VALLEY BROOK LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271042732",
"telephone_number": "336-765-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 CLOVERDALE AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032301",
"telephone_number": "336-724-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTMAN",
"first_name": "ALISA",
"middle_name": "BOYETTE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "7525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.