IndividualActive
Alexis Simmons
NPI 1417554254 · Pharmacist · Charleston, WV
Provider details
- NPI number
- 1417554254
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12167 (WV)
Mailing address
5332 Luray Ln
Cross Lanes, WV 25313-1222
Registry dates
- Enumerated
- 2020-10-05
- Last updated
- 2020-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.