Sally Rebecca Seeley, PHARMD, BC-ADM

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302411718 Issued in MI

Practice address

221 Michigan St NE Ste 200
Grand Rapids, MI 49503-2533

Phone

(616) 267-8950

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Partners in Family Health PLC

  • Family Medicine Physician
  • Hudsonville, MI
  • NPI 1467550632
  NPD (past)

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1639820509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 THORNAPPLE RIVER DR SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169522",
            "telephone_number": "616-710-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MICHIGAN ST NE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032533",
            "telephone_number": "616-267-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELEY",
        "first_name": "SALLY",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BC-ADM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302411718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "530-521-1718",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Charles Sedore, M.D., PH.D.
• Gail Anne Seebeck
• Jordana Seebeck
• Anne Reilly Seeburger
• Jenna Lynn Seehase
• Ashley Ann Seelye, MA, LLPC, NCC
• Matthew Seerveld, PA-C
• Donna Seese, LLPC
• Cynthia Sefcik, MS CCC-SLP
• Stuart Segal

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.