Individual provider Active NPI

Karen Louise Niemi, RPH

  • Pharmacist
  • Prophetstown, IL
National Provider Identifier
1013531359
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051286610 Issued in IL
Practice address
316 Washington St
Prophetstown, IL 61277-1184
Phone
(815) 537-2400
Fax
(815) 537-2404
NPI assigned
Jun 2, 2020
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17862 IA
Pharmacist 183500000X 051286610 IL Primary

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

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17862IAMDPharmacist
051286610ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartig Drug Co Corp PastSince Jun 7, 2020 Accepting new patients
Hartig Drug Co Corp PastSince Jun 7, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1013531359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 17TH ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527429184",
            "telephone_number": "563-659-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WASHINGTON ST",
            "city": "PROPHETSTOWN",
            "state": "IL",
            "postal_code": "612771184",
            "telephone_number": "815-537-2400",
            "fax_number": "815-537-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17862",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051286610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prophetstown, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.