Individual provider Active NPI

Kasie Weaver, PHARMD.

  • Pharmacist
  • Clarkesville, GA
National Provider Identifier
1366035537
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH029321 Issued in GA
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

Updated by the provider on Feb 18, 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 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

LicenseStateTypeSpecialty
RPH029321GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Soque Pillbox LLC CurrentSince Jun 30, 2024 Accepting new patients
Expressmed, Inc. PastSince Feb 21, 2021 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.

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.

Verify at the official NPI Registry.