Active NPI
Philip J Siebigteroth, PHARM.D.
- Pharmacist
- Whiteriver, AZ
National Provider Identifier
1669451068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302032034
- Practice address
- 200 West Hospital Drive
Box 860
Whiteriver, AZ 85941 - Phone
- (928) 338-3624
- NPI assigned
- Jan 13, 2006
- 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 | 5302032034 | MI | Primary |
Addresses
Primary practice location
200 West Hospital Drive
Box 860
Whiteriver, AZ 85941
Mailing address
1198 Valley Dr
Mackinaw City, MI 49701-9749
Phone (906) 298-2222
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 |
|---|---|---|---|
| 5302032034 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1669451068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 VALLEY DR",
"city": "MACKINAW CITY",
"state": "MI",
"postal_code": "497019749",
"telephone_number": "906-298-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST HOSPITAL DRIVE",
"address_2": "BOX 860",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBIGTEROTH",
"first_name": "PHILIP",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.