Active NPI
Kristopher John Alicea, PHARMD, RPH
- Pharmacist
- Lorain, OH
National Provider Identifier
1891040010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03228308-2
- Practice address
- 5411 Leavitt Rd
Lorain, OH 44053-2155 - Phone
- (440) 960-7225
- NPI assigned
- Jul 14, 2012
- Last updated
- Jul 14, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 03228308-2 | OH | Primary |
Addresses
Primary practice location
5411 Leavitt Rd
Lorain, OH 44053-2155
Mailing address
910 Sharondale Dr
Amherst, OH 44001-1142
Phone (440) 309-8185
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03228308-2 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342224000000",
"number": "1891040010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SHARONDALE DR",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011142",
"telephone_number": "440-309-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 LEAVITT RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440532155",
"telephone_number": "440-960-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALICEA",
"first_name": "KRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-14",
"last_updated": "2012-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03228308-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.