Zara Sivertsen, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

19480-40 Issued in WI

Practice address

502 S Main St
Rice Lake, WI 54868-2576

Phone

(715) 736-0120

NPI assigned

Feb 22, 2020

Last updated

Feb 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #11860

  • Pharmacy
  • Rice Lake, WI
  • NPI 1154579118
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1073147617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682576",
            "telephone_number": "715-736-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682576",
            "telephone_number": "715-736-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERTSEN",
        "first_name": "ZARA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19480-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co. LLC (ShopKo Optical 132)
• Shoptikal LLC (Shopko Optical 4132)
• Sikorski Hearing Aid Center, Inc. (Sikorski Hearing and Tinnitus Wellness Center)
• Samantha Elaine Sikorski, H.I.S
• Katherine L. Simeth, D.D.S.
• Erin Alexa Smetko, M.S.
• Gabrielle Carmen Chan Smiley, OD
• Mark David Smith, PT
• William A Smith, MD
• David A Sommerfeld, D. C.

• Pharmacist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.