Alicia Marie Desmarais, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

I058628 Issued in NY

Practice address

27 Round Lake Rd
Ballston Lake, NY 12019-1129

Phone

(518) 899-2986

Fax

(518) 899-6746

NPI assigned

Dec 8, 2013

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

Other names 1

• Alicia Marie Parks Former name

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.

• Walgreen Co

  • Pharmacy
  • Wappingers Falls, NY
  • NPI 1134457062
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Saratoga Springs, NY
  • NPI 1558543298
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1982035515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ROUND LAKE RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191129",
            "telephone_number": "518-899-2986",
            "fax_number": "518-899-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ROUND LAKE RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191129",
            "telephone_number": "518-899-2986",
            "fax_number": "518-899-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMARAIS",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-08",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058628",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I058628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "PARKS",
            "middle_name": "MARIE",
            "credential": "PHARM. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Louis J Costello, DC
• Edmund W. Cowie, O.D.
• Caitlyn Marie Crandall, PT, DPT
• Richard Albert Demartino, PSY.D.
• Jenna Elizabeth Desbiens, FNP-BC
• Kristin Doty, LMT
• Jennifer Doud, MS, RD, CDN
• Corey E Ennis, PA
• Irwin Bruce Finch, DDS PC
• Yolanda Fleurantin, NP

• Pharmacist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.