Duane Matthew Siercke, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

P5616 Issued in ID

Practice address

2003 Lincoln Way
Coeur D Alene, ID 83814-2611

Phone

(208) 666-3037

NPI assigned

May 15, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497961676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 W EAGLE RIDGE RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141363",
            "telephone_number": "208-666-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142611",
            "telephone_number": "208-666-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERCKE",
        "first_name": "DUANE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "P5616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Dean Sichelstiel, LPC
• Lindsey Elizabeth Sichelstiel, MS, LAC, EAMP
• Joanna Siemens, LPC
• John S Siemers, MD
• Rebecca Evans Siemers, MD
• Sight Partners Physicians, P.C.
• Kanan Silvas, M.D.
• Silver Ridge Care, LLC
• Emily Simmons
• Rachel Simmons

• Pharmacotherapy Pharmacist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Pharmacotherapy Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.