Individual provider Active NPI

Eric D Siekkinen, R.PH.

  • Pharmacist
  • Danville, OH
National Provider Identifier
1861483679
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03213181 Issued in OH
Practice address
10 E Main St
Danville, OH 43014-0070
Phone
(740) 599-6744
Fax
(740) 599-6799
NPI assigned
Nov 1, 2005
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03213181 OH Primary

Addresses

Primary practice location

10 E Main St
Danville, OH 43014-0070

Mailing address

16631 Kaylor Rd
Danville, OH 43014-9739
Phone (740) 599-5756

Other identifiers 1

IdentifierTypeStateIssuer
03-2-13181OtherOHPHARMACIST IDENTIFICATION

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
03213181OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1861483679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16631 KAYLOR RD",
            "city": "DANVILLE",
            "state": "OH",
            "postal_code": "430149739",
            "telephone_number": "740-599-5756",
            "fax_number": "740-599-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MAIN ST",
            "city": "DANVILLE",
            "state": "OH",
            "postal_code": "430140070",
            "telephone_number": "740-599-6744",
            "fax_number": "740-599-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEKKINEN",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03213181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST IDENTIFICATION",
            "identifier": "03-2-13181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.