Gregory Aleckson, PHARM. D

Individual provider Active NPI Pharmacist · La Crosse, WI

NPI 1689959751 · NPPES record last updated Oct 19, 2011

Key facts

NPI
1689959751
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
14137-040 (WI)
Practice address
900 West Ave S
La Crosse, WI 54601-4729
Phone
(608) 796-2058
Fax
(608) 796-2059
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14137-040WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14137-040 WI Yes

Addresses

Primary practice location

900 West Ave S
La Crosse, WI 54601-4729

Mailing address

900 West Ave S
La Crosse, WI 54601-4729
Phone (608) 796-2058

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2011.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1689959751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WEST AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014729",
            "telephone_number": "608-796-2058",
            "fax_number": "608-796-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WEST AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014729",
            "telephone_number": "608-796-2058",
            "fax_number": "608-796-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALECKSON",
        "first_name": "GREGORY",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14137-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

All providers in La Crosse, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.