Active NPI
Joseph Lyle Acciaioli, RPH
- Pharmacist
- Waterford, MI
National Provider Identifier
1295371318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027811
- Practice address
- 5111 Highland Rd
Waterford, MI 48327-1915 - Phone
- (248) 673-4324
- Fax
- (248) 673-7318
- NPI assigned
- Nov 24, 2019
- Last updated
- Nov 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302027811 | MI | Primary |
Addresses
Primary practice location
5111 Highland Rd
Waterford, MI 48327-1915
Mailing address
8785 River Run Dr
White Lake, MI 48386-4610
Phone (248) 891-2344
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027811 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
Organizations & group practices 2
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": "1574553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574553600000",
"number": "1295371318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8785 RIVER RUN DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483864610",
"telephone_number": "248-891-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271915",
"telephone_number": "248-673-4324",
"fax_number": "248-673-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACCIAIOLI",
"first_name": "JOSEPH",
"middle_name": "LYLE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-24",
"last_updated": "2019-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.