Individual provider Active NPI

Brandon Robert Bankieris, PHARMD

  • Pharmacist
  • Stockbridge, GA
National Provider Identifier
1366744898
Registry record updated Dec 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025709 Issued in GA
Practice address
106 Rock Quarry Rd Ste a
Stockbridge, GA 30281-3766
Phone
(770) 507-1559
NPI assigned
Dec 5, 2010
Last updated
Dec 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 025709 GA Primary

Addresses

Primary practice location

106 Rock Quarry Rd Ste a
Stockbridge, GA 30281-3766

Mailing address

623 Rock Springs CT NE
Atlanta, GA 30306-2327
Phone (912) 308-8992

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
025709GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291507200000",
    "number": "1366744898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 ROCK SPRINGS CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062327",
            "telephone_number": "912-308-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROCK QUARRY RD STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813766",
            "telephone_number": "770-507-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKIERIS",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-05",
        "last_updated": "2010-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "025709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2010; 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.