Brandon Robert Bankieris, PHARMD
Individual provider Active NPI Pharmacist · Stockbridge, GA
NPI 1366744898 · NPPES record last updated Dec 5, 2010
Key facts
- NPI
- 1366744898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 025709 (GA)
- Practice address
- 106 Rock Quarry Rd Ste a
Stockbridge, GA 30281-3766 - Phone
- (770) 507-1559
- NPI assigned
- Dec 5, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025709 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 025709 | GA | Yes |
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
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.