Active NPI
Courtney Sjoberg
- Pharmacy Technician
- Owosso, MI
National Provider Identifier
1669042057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303035129
- Practice address
- 1002 E M 21
Owosso, MI 48867-9007 - Phone
- (989) 723-6756
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303035129 | MI | Primary |
Addresses
Primary practice location
1002 E M 21
Owosso, MI 48867-9007
Mailing address
12551 W Townsend Rd
Fowler, MI 48835-9272
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | courtney.n.sjoberg@riteaid.com |
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 |
|---|---|---|---|
| 5303035129 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1669042057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12551 W TOWNSEND RD",
"city": "FOWLER",
"state": "MI",
"postal_code": "488359272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 E M 21",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679007",
"telephone_number": "989-723-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SJOBERG",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303035129",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "courtney.n.sjoberg@riteaid.com",
"affiliation": "N",
"address_1": "1002 E M 21",
"city": "Owosso",
"state": "MI",
"country_code": "US",
"postal_code": "488679007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.