Alicia Christine Edsall, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP447758 Issued in PA

Practice address

430 N Keystone Ave
Sayre, PA 18840-1831

Phone

(570) 888-7763

NPI assigned

Dec 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17901

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1912305087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N KEYSTONE AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401831",
            "telephone_number": "570-888-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N KEYSTONE AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401831",
            "telephone_number": "570-888-7763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 12th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286013188",
            "country_code": "US",
            "telephone_number": "828-256-6456",
            "fax_number": "828-256-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDSALL",
        "first_name": "ALICIA",
        "middle_name": "CHRISTINE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23727",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP447758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Lamont Dyer, MD
• Rachel Danielle Earley
• Kathryn Elise Earls, PA-C
• Eckerd Corporation (Rite Aid Pharmacy 11083)
• Alexander Edelstein
• William Hunter Edwards
• Michael Stephen Elder Waters
• Richard Lee Eller, M.D.
• George L Ellis, M.D.
• Hannah Tourgee Emick, PA-C

• Pharmacist in Sayre, PA
• Providers in Sayre, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.