Michael John Sita, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

029435 Issued in MO

Practice address

7339 Gravois Ave
Walgreens #3906
Saint Louis, MO 63116-1040

Phone

(314) 752-0722

Fax

(314) 752-0226

NPI assigned

Sep 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

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.

• Walgreen Co

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

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114200797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7339 GRAVOIS AVE",
            "address_2": "WALGREENS #3906",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161040",
            "telephone_number": "314-752-0722",
            "fax_number": "314-752-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7339 GRAVOIS AVE",
            "address_2": "WALGREENS #3906",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161040",
            "telephone_number": "314-752-0722",
            "fax_number": "314-752-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "029435",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051031158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1932116944",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "2630970",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "361924025",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sisters Care Home Services LLC
• Sisters in Care Home Health LLC
• Sisters of Love Lab Services
• Kelsey Alayne Sisti, MD
• Laura Sisul
• Dawn L Sitler, APRN-CNS
• Donald Joseph Sitner
• Harold Barrie Sitrin, MD
• Amanda Johns Sivewright, PNP
• Andrew Sivils, MD

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.