Kelsy Ziegemeier, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0019286 Issued in OR

Practice address

1791 SE Ensign LN
Warrenton, OR 97146-7410

Phone

(503) 861-0146

Fax

(503) 861-0897

NPI assigned

Nov 9, 2020

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walmart Inc

  • Pharmacy
  • Warrenton, OR
  • NPI 1710489406
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780286351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 PARK LN",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384300",
            "telephone_number": "636-795-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 SE ENSIGN LN",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971467410",
            "telephone_number": "503-861-0146",
            "fax_number": "503-861-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGEMEIER",
        "first_name": "KELSY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016030443",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0019286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Wong
• Peter Woodring, NP
• Wendi Wyrwitzke
• Shawna Marie Zamora
• Steven Ray Zamora
• Warren Zimmermann Jr., RN, MSN
• Aunastasia Fantasia Marie Zsidiewicz, LICSWA, AAC, CADC I

• Pharmacist in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.