Provider Demographics
NPI:1043014012
Name:SCHIFANO, ALEXANDRA
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:
Last Name:SCHIFANO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 GARRARD ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-3508
Mailing Address - Country:US
Mailing Address - Phone:502-418-0399
Mailing Address - Fax:
Practice Address - Street 1:136 PLAZA DR
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:KY
Practice Address - Zip Code:41076-2166
Practice Address - Country:US
Practice Address - Phone:859-212-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist