Pieter Jacobus Koekemoer, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH63627 Issued in CA

Practice address

2025 Court St Ste B
Redding, CA 96001-1805

Phone

(530) 244-8669

Fax

(530) 243-0687

NPI assigned

Sep 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Kaizen Compounding Pharmacy

  • Compounding Pharmacy
  • Redding, CA
  • NPI 1841245412
  NPD
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Shasta Lake, CA
  • NPI 1558470898
  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1154630705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 COURT ST STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011805",
            "telephone_number": "530-244-8669",
            "fax_number": "530-243-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 COURT ST STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011805",
            "telephone_number": "530-244-8669",
            "fax_number": "530-243-0687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Shasta Dam Blvd",
            "address_purpose": "LOCATION",
            "city": "Shasta Lake",
            "state": "CA",
            "postal_code": "960199402",
            "country_code": "US",
            "telephone_number": "530-275-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEKEMOER",
        "first_name": "PIETER",
        "middle_name": "JACOBUS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH63627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoekemoer@kaizencompoundingpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "admin@kaizencompoundingpharmacy.com",
            "address_1": "2025 Court St Ste B",
            "city": "Redding",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960011805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Margaret Knopp, M.D.
• Jordan Leeann Knouse, DPT
• Malinda Kay Knowles, NP
• Charity Jane Knox, NP
• Thomas James Knutson, MD
• Kenneth S Koenig, M.D.
• Lissa Jenat Koenig
• Yolanda Koenig
• Alyson Reynolds Kohl, MFT
• Vahini L Koka, DO

• All providers in Redding, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.