Active NPI
Michael Sidener, RPH, PHARMD
- Pharmacist
- Springfield, OR
National Provider Identifier
1770070542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0017450
- Practice address
- 2130 Marcola Rd
Springfield, OR 97477-2592 - Phone
- (541) 747-3362
- NPI assigned
- Apr 17, 2018
- 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 | RPH-0017450 | OR | Primary |
Addresses
Primary practice location
2130 Marcola Rd
Springfield, OR 97477-2592
Mailing address
2130 Marcola Rd
Springfield, OR 97477-2592
Phone (541) 747-3362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0017450 | Other | OR | BOARD OF PHARMACY |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0017450 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1770070542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 MARCOLA RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974772592",
"telephone_number": "541-747-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 MARCOLA RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974772592",
"telephone_number": "541-747-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDENER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "RPH-0017450",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.