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
- 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Clarkesville, GA
- NPI 1609611862
-
- Community/Retail Pharmacy
- Clarkesville, GA
- NPI 1578611760
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
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.