Coleman Sisson, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-100783 Issued in MS

Practice address

103 W Central Ave
Petal, MS 39465-2313

Phone

(601) 554-3236

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1558376715
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Petal, MS
  • NPI 1568562346
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1457086712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RIVIERA CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W CENTRAL AVE",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652313",
            "telephone_number": "601-554-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "COLEMAN",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-100783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Robinson, ATC
• David Bernard Roy, D.O.
• Sandra G Russell, FNP
• Aaron Rylander, DPT
• Lacey Easterling Saul, R.D
• James Dale Skaggs
• SLM Labs 2
• Jenna Smith
• Lisa Gayle Smith, M.S., CCC-SLP
• Shonesty L. Smith, MSW

• All providers in Petal, MS
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.