Active NPI
Robert Siekerka, PHARMD
- Pharmacist
- Columbia, IL
National Provider Identifier
1316284854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.296143
- Practice address
- 1412 N Evergreen LN
Columbia, IL 62236 - Phone
- (618) 560-3713
- NPI assigned
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.296143 | IL | Primary |
Addresses
Primary practice location
1412 N Evergreen LN
Columbia, IL 62236
Mailing address
1412 N Evergreen LN
Columbia, IL 62236-1007
Phone (618) 560-3713
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.296143 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1316284854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 N EVERGREEN LN",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622361007",
"telephone_number": "618-560-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 N EVERGREEN LN",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "62236",
"telephone_number": "618-560-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEKERKA",
"first_name": "ROBERT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.296143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, IL
- Kendra Leigh Schmieg
- Zachary A Schniers, DPT
- Select Physical Therapy of St Louis Limited Partnership
- James Michael Sepich, ATC
- Ketan Shah, M.D.
- Sisters Alliance LLC
- Kim Ann Soltysiak, LPC
- St Elizabeths Hospital of the Hospital Sisters of the Third Order
- Andrea Kathryn Stout, PA-C
- Arianne R Stuckmeyer, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.