Active NPI
Sidney Boyd Collier III, PHARM D
- Pharmacist
- Canton, GA
National Provider Identifier
1306113378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017944
- Practice address
- 6111 Hickory Flat Highway
Canton, GA 30115 - Phone
- (770) 479-7039
- NPI assigned
- Nov 18, 2011
- Last updated
- May 30, 2013
- 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 | 017944 | GA | Primary |
Addresses
Primary practice location
6111 Hickory Flat Highway
Canton, GA 30115
Mailing address
608 Mallard Run
Canton, GA 30114-6354
Phone (678) 881-9808
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 |
|---|---|---|---|
| 017944 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1306113378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 MALLARD RUN",
"city": "CANTON",
"state": "GA",
"postal_code": "301146354",
"telephone_number": "678-881-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 HICKORY FLAT HIGHWAY",
"city": "CANTON",
"state": "GA",
"postal_code": "30115",
"telephone_number": "770-479-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "SIDNEY",
"middle_name": "BOYD",
"name_suffix": "III",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-18",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "017944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
- Dori Maureen Cole, NP
- Michael Leon Cole, R.PH.
- William Cole, MSN, APRN, FNP-BC
- Sarah Ann Collett
- Jacqueline Shea Collier, RN, IBCLC
- David Richard Collins, M.D.
- Enid Colon, MD
- Brooke A Comley, LMSW
- Compassion Care Connections Corporation (Home Helpers Home Care of Canton, GA)
- Comprehensive Therapy Consultants
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.