Individual provider Active NPI

Alan Siefker, RPH

  • Pharmacist
  • Savannah, GA
National Provider Identifier
1629327036
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12394 Issued in SC
Practice address
9100 White Bluff Rd Ste 604
Savannah, GA 31406-4674
Phone
(615) 289-0871
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14529 GA
Pharmacist 183500000X 22399 NC
Pharmacist 183500000X 03-2-15276 OH
Pharmacist 183500000X 15928 NV
Pharmacist 183500000X RPH014529 GA
Pharmacist 183500000X 16280 CO
Pharmacist 183500000X PR5390 ME
Pharmacist 183500000X 12394 SC Primary

Addresses

Primary practice location

9100 White Bluff Rd Ste 604
Savannah, GA 31406-4674

Mailing address

526 E Taylor St
Savannah, GA 31401-5024
Phone (615) 289-0871

Other practice location 1

712 Stephenson Ave
Savannah, GA 31405-5975
Phone (912) 355-8601

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16280COMDPharmacist
14529GAMDPharmacist
RPH014529GAMDPharmacist
PR5390MEMDPharmacist
22399NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1629327036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 E TAYLOR ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314015024",
            "telephone_number": "615-289-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD STE 604",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064674",
            "telephone_number": "615-289-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Stephenson Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314055975",
            "country_code": "US",
            "telephone_number": "912-355-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEFKER",
        "first_name": "ALAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "14529",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22399",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-15276",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15928",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH014529",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16280",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5390",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.