ROBERT SIEKERKA (NPI# 1316284854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316284854 |
| Entity Type | Individual |
| Full Name | ROBERT SIEKERKA |
| Credential | PHARMD |
| Practice Address |
1412 N Evergreen Ln Columbia IL 62236 |
| Mailing Address |
1412 N Evergreen Ln Columbia IL 62236-1007 |
| Practice Telephone | 6185603713 |
| Mailing Telephone | 6185603713 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.296143 | IL | Pharmacy Service Providers |
| Street Address |
1412 N EVERGREEN LN |
| City | COLUMBIA |
| State | IL |
| Zip Code | 62236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937300 | Assoicated Physicians Group Ltd | Nurse Practitioner | 1011 South, Suite 3b, Columbia, IL 62236 | 2017-04-24 |
| 1972874352 | Jennifer Harlin Wilhelm | Veterinarian | 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 | 2012-01-18 |
| 1912275314 | Synergy Therapeutics, PC | Dentist | 1000 Eleven South, Suite 3f, Columbia, IL 62236 | 2011-12-13 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1831311158 | Lifetime Dental Care of Illinois, PC | Dentist | 240 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1710109616 | Jason Clay King | Chiropractor | 117 West Cedar Street, Columbia, IL 62236 | 2007-05-02 |
| 1184704900 | Mitan Pediatric Therapy Inc | Occupational Therapist | 891 Meadowview Lane, Columbia, IL 62236 | 2006-10-16 |
| 1265528368 | Kathryn Ann Mager | Counselor | 9273 Coach Stop Road, Columbia, IL 62236 | 2006-10-05 |
| 1144320086 | Family Medicine In Columbia | Family Medicine | 123 Wedgewood Dr, Columbia, IL 62236 | 2006-09-22 |
| Find all providers in zip 62236 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1821640046 | Maximilian Pettis | Pharmacist | 8940 Old Annapolis Rd Ste B, Columbia, MD 21045-2129 | 2019-07-09 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1578022513 | Nara Lee | Pharmacist | 525 Wotan Rd, Columbia, SC 29229-3347 | 2019-03-19 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1689149791 | Ashton Preslar | Pharmacist | 612 Whaley St Apt 135, Columbia, SC 29201-6323 | 2018-10-05 |
| 1013490390 | Crystal Cierra Graves | Pharmacist | 1 Windsor Cv Ste 306-2, Columbia, SC 29223-1833 | 2018-09-12 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.