Active NPI
Holly Aleccia
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1386927036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302036311
- Practice address
- 4550 Cascade Rd SE
Grand Rapids, MI 49546-8385 - Phone
- (614) 738-9673
- NPI assigned
- Sep 20, 2011
- Last updated
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302036311 | MI | Primary |
| Pharmacist | 183500000X | 03325791 | OH |
Addresses
Primary practice location
4550 Cascade Rd SE
Grand Rapids, MI 49546-8385
Mailing address
4550 Cascade Rd SE
Grand Rapids, MI 49546-8385
Phone (614) 738-9673
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302036311 | MI | MD | Pharmacist |
| 03325791 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1386927036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468385",
"telephone_number": "614-738-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468385",
"telephone_number": "614-738-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALECCIA",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036311",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03325791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.