Individual provider Active NPI

Jacqueline Hallie Siers, PHARM.D.

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1225313406
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025664 Issued in GA
Practice address
2175 Parklake Dr NE
Atlanta, GA 30345-2845
Phone
(770) 496-7400
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 025664 GA Primary
Pharmacist 183500000X 13070 SC

Addresses

Primary practice location

2175 Parklake Dr NE
Atlanta, GA 30345-2845

Mailing address

152 Ridley Cir
Decatur, GA 30030-1117
Phone (843) 478-4273

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
025664GAMDPharmacist
13070SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1225313406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 RIDLEY CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301117",
            "telephone_number": "843-478-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 PARKLAKE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452845",
            "telephone_number": "770-496-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERS",
        "first_name": "JACQUELINE",
        "middle_name": "HALLIE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "025664",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.