Individual provider Active NPI

Alexandra Shelon, RPH

  • Pharmacist
  • Carle Place, NY
National Provider Identifier
1972788982
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047345 Issued in NY
Practice address
1 Old Country Rd Ste LL11
Carle Place, NY 11514-1806
Phone
(516) 287-2002
Fax
(516) 279-4929
NPI assigned
Jan 9, 2008
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047345 NY Primary

Addresses

Primary practice location

1 Old Country Rd Ste LL11
Carle Place, NY 11514-1806

Mailing address

1 Old Country Rd Ste LL11
Carle Place, NY 11514-1806
Phone (516) 287-2002

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

LicenseStateTypeSpecialty
047345NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Replenish Wellness Consulting LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

1 Old Country Rd
Ste LL11
Carle Place, NY 11514
Phone (516) 287-2002

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1972788982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD STE LL11",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141806",
            "telephone_number": "516-287-2002",
            "fax_number": "516-279-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD STE LL11",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141806",
            "telephone_number": "516-287-2002",
            "fax_number": "516-279-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELON",
        "first_name": "ALEXANDRA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.