Active NPI
Joseph Scierka
- Pharmacist
- Woodstock, GA
National Provider Identifier
1053439810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH019049
- Practice address
- 12075 Highway 92
Woodstock, GA 30188-4499 - Phone
- (770) 926-4494
- NPI assigned
- Mar 27, 2007
- Last updated
- Dec 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019049 | GA | |
| Pharmacist | 183500000X | RPH019049 | GA | Primary |
Addresses
Primary practice location
12075 Highway 92
Woodstock, GA 30188-4499
Mailing address
12075 Highway 92
Woodstock, GA 30188-4499
Phone (770) 926-4494
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.17077@store.walgreens.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019049 | GA | MD | Pharmacist |
| RPH019049 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1053439810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12075 HIGHWAY 92",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884499",
"telephone_number": "770-926-4494",
"fax_number": "770-592-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12075 HIGHWAY 92",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884499",
"telephone_number": "770-926-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIERKA",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "019049",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH019049",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.17077@store.walgreens.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12075 Highway 92",
"city": "Woodstock",
"state": "GA",
"country_code": "US",
"postal_code": "30188",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.