Active NPI
Kasie Weaver, PHARMD.
- Pharmacist
- Clarkesville, GA
National Provider Identifier
1366035537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029321
- Practice address
- 410A W Louise St
Clarkesville, GA 30523-5808 - Phone
- (706) 754-0101
- NPI assigned
- Feb 18, 2021
- Last updated
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH029321 | GA | Primary |
Addresses
Primary practice location
410A W Louise St
Clarkesville, GA 30523-5808
Mailing address
511 River Hill Rd
Cornelia, GA 30531-5903
Phone (706) 768-2954
Other practice location 1
1439 Jesse Jewell Pkwy NE Ste 101
Gainesville, GA 30501-3806
Phone (770) 219-1050
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 |
|---|---|---|---|
| RPH029321 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soque Pillbox LLC | Current | Accepting new patients | |
| Expressmed, Inc. | Past | Accepting new patients |
Locations
410 W Louise St
Unit A
Clarkesville, GA 30523
Phone (706) 754-0101
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": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1366035537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 RIVER HILL RD",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305315903",
"telephone_number": "706-768-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410A W LOUISE ST",
"city": "CLARKESVILLE",
"state": "GA",
"postal_code": "305235808",
"telephone_number": "706-754-0101"
}
],
"practiceLocations": [
{
"address_1": "1439 Jesse Jewell Pkwy NE Ste 101",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013806",
"country_code": "US",
"telephone_number": "770-219-1050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "KASIE",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkesville, GA
- Stephanie K Tolbert, LPC
- Connie Marie Vanorman, PHARM.D.
- Jennifer Vaughan, LPC, NCC
- Walgreen Co (Walgreens #19561)
- Leah Watts, PA-C
- Jerry Kenneth Weldon Jr., D.M.D.
- Janet Cook Weyrich, D.D.S., M.S.
- Wildflower Counseling LLC (Wildflower Counseling)
- Beverly Deann Wilson, PHARM D
- Marta Nemeth Wilson, LAPC, CADC II
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.