Karen Louise Niemi, RPH
Individual provider Active NPI Pharmacist · Prophetstown, IL
NPI 1013531359 · NPPES record last updated Jun 2, 2020
Key facts
- NPI
- 1013531359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051286610 (IL)
- Practice address
- 316 Washington St
Prophetstown, IL 61277-1184 - Phone
- (815) 537-2400
- Fax
- (815) 537-2404
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17862 | IA | MD | Pharmacist |
| 051286610 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartig Drug Co Corp | Past |
Accepting new patients | |
| Hartig Drug Co Corp | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17862 | IA | |
| Pharmacist | 183500000X | 051286610 | IL | Yes |
Addresses
Primary practice location
316 Washington St
Prophetstown, IL 61277-1184
Mailing address
2412 17TH St
De Witt, IA 52742-9184
Phone (563) 659-3544
Other providers in Prophetstown, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.