Active NPI
Keith J Zierke
- Pharmacist
- Clive, IA
National Provider Identifier
1598087322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13389
- Practice address
- 10331 University Ave
Clive, IA 50325-6472 - Phone
- (515) 225-2694
- Fax
- (515) 222-0813
- NPI assigned
- Feb 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 13389 | IA | Primary |
Addresses
Primary practice location
10331 University Ave
Clive, IA 50325-6472
Mailing address
10331 University Ave
Clive, IA 50325-6472
Phone (515) 225-2694
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13389 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266710400000",
"number": "1598087322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10331 UNIVERSITY AVE",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256472",
"telephone_number": "515-225-2694",
"fax_number": "515-222-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10331 UNIVERSITY AVE",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256472",
"telephone_number": "515-225-2694",
"fax_number": "515-222-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIERKE",
"first_name": "KEITH",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-21",
"last_updated": "2010-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "13389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.