Individual provider Active NPI

Sidna B Gee, RPH

  • Pharmacist
  • Dayton, TX
National Provider Identifier
1356559355
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24717 Issued in TX
Practice address
403 E Highway 90
Dayton, TX 77535-2629
Phone
(936) 258-2166
Fax
(936) 258-7617
NPI assigned
May 21, 2007
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24717 TX Primary

Addresses

Primary practice location

403 E Highway 90
Dayton, TX 77535-2629

Mailing address

403 E Highway 90
Dayton, TX 77535-2629
Phone (936) 258-2166

Other practice location 1

2325 N Main St
Liberty, TX 77575-3901
Phone (936) 336-4177

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
24717TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookshire Brothers Inc Past Accepting new patients
Brookshire Brothers Inc PastSince Jul 25, 2021 Accepting new patients
Liberty Pharmacy LLC Past Accepting new patients
Brookshire Brothers Inc PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 4

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1356559355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E HIGHWAY 90",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352629",
            "telephone_number": "936-258-2166",
            "fax_number": "936-258-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E HIGHWAY 90",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352629",
            "telephone_number": "936-258-2166",
            "fax_number": "936-258-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 N Main St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "TX",
            "postal_code": "775753901",
            "country_code": "US",
            "telephone_number": "936-336-4177",
            "fax_number": "936-336-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEE",
        "first_name": "SIDNA",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "24717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "403 E Highway 90",
            "city": "Dayton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775352629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.