Alexis Bobal
Individual provider Active NPI Pharmacist · Endwell, NY
NPI 1831923945 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1831923945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- I071769 (NY)
- Practice address
- 511 Hooper Rd
Endwell, NY 13760-1907 - Phone
- (607) 754-6880
- NPI assigned
- Aug 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I071769 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I071769 | NY | Yes |
Addresses
Primary practice location
511 Hooper Rd
Endwell, NY 13760-1907
Mailing address
511 Hooper Rd
Endwell, NY 13760-1907
Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. 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.