Individual provider Active NPI

Alexandros C Pitsakis, PHARMD

  • Pharmacist
  • Audubon, PA
National Provider Identifier
1972109064
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP454779 Issued in PA
Practice address
970 Rittenhouse Rd
Audubon, PA 19403-2265
Phone
(610) 344-0450
NPI assigned
Dec 5, 2020
Last updated
Jul 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP454779 PA Primary

Addresses

Primary practice location

970 Rittenhouse Rd
Audubon, PA 19403-2265

Mailing address

970 Rittenhouse Rd Ste 200
Audubon, PA 19403-2265
Phone (610) 344-0450

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
RP454779PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1972109064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 RITTENHOUSE RD STE 200",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032265",
            "telephone_number": "610-344-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 RITTENHOUSE RD",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032265",
            "telephone_number": "610-344-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITSAKIS",
        "first_name": "ALEXANDROS",
        "middle_name": "C",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-05",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.