Alli Alizabeth House, PHARMD
Individual provider Active NPI Pharmacist · Middlebury, IN
NPI 1831816677 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1831816677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26027688A (IN)
- Practice address
- 102 E US Highway 20
Middlebury, IN 46540-8504 - Phone
- (574) 825-2485
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26027688A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26027688A | IN | Yes |
Addresses
Primary practice location
102 E US Highway 20
Middlebury, IN 46540-8504
Mailing address
1082 Blackstone Blvd
Nappanee, IN 46550-9232
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
Other providers in Middlebury, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.