Active NPI
Niemann Foods Inc
- Community/Retail Pharmacy
- Springfield, IL
National Provider Identifier
1154800969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NIEMANN FOODS INC
- Practice address
- 1501 S Dirksen Pkwy
Springfield, IL 62703-2128 - Phone
- (217) 525-2372
- Fax
- (217) 527-8416
- NPI assigned
- Aug 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur John Awerkamp
- Title
- Director of Pharmacy
- Phone
- (217) 221-5615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1501 S Dirksen Pkwy
Springfield, IL 62703-2128
Mailing address
1501 N 12TH St
Quincy, IL 62301-1916
Phone (217) 221-5615
Other names 1
- County Market Pharmacy 226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211006002600 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6103032206 |
9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Champaign, IL; Springfield, IL; Pittsfield, IL; Rushville, IL; Chatham, IL; Lewistown, IL |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632700800000",
"number": "1154800969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N 12TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623011916",
"telephone_number": "217-221-5615",
"fax_number": "217-221-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S DIRKSEN PKWY",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032128",
"telephone_number": "217-525-2372",
"fax_number": "217-527-8416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIEMANN FOODS INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-13",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "AWERKAMP",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "217-221-5615"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "County Market Pharmacy 226",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "County Market Pharmacy 226",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.