Active NPI
Jeffrey Michael Sivik, PHARM.D.
- Pharmacist
- Hershey, PA
National Provider Identifier
1922201904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439272
- Practice address
- 500 University Dr
HMC Department of Pharmacy, Mailbox H-079
Hershey, PA 17033-2360 - Phone
- (717) 531-7477
- NPI assigned
- Jun 7, 2007
- 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 | RP439272 | PA | Primary |
Addresses
Primary practice location
500 University Dr
HMC Department of Pharmacy, Mailbox H-079
Hershey, PA 17033-2360
Mailing address
228 Apple Blossom LN
Palmyra, PA 17078-2926
Phone (717) 202-7411
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 |
|---|---|---|---|
| RP439272 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922201904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 APPLE BLOSSOM LN",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170782926",
"telephone_number": "717-202-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"address_2": "HMC DEPARTMENT OF PHARMACY, MAILBOX H-079",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-7477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVIK",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.