Individual provider Active NPI

Robert Martin Niedermeyer Jr., PHARM D

  • Pharmacist
  • Monaca, PA
National Provider Identifier
1902193105
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP444447 Issued in PA
Practice address
87 Wagner Road
Monaca, PA 15061
Phone
(724) 728-7259
Fax
(724) 728-7259
NPI assigned
Jul 8, 2011
Last updated
Jul 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP444447 PA Primary

Addresses

Primary practice location

87 Wagner Road
Monaca, PA 15061

Mailing address

2625 Woodmont Lane
Wexford, PA 15090
Phone (412) 596-5144

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

LicenseStateTypeSpecialty
RP444447PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1902193105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WOODMONT LANE",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "412-596-5144",
            "fax_number": "724-728-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 WAGNER ROAD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "15061",
            "telephone_number": "724-728-7259",
            "fax_number": "724-728-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERMEYER",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "name_suffix": "Jr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP444447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.