Individual provider Active NPI

Jeri J Sias, PHARMD

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1497827901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39510 Issued in TX
Practice address
Clinica Centro San Vicente
8061 Alameda
El Paso, TX 79915-4705
Phone
(915) 859-7545
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39510 TX Primary

Addresses

Primary practice location

Clinica Centro San Vicente
8061 Alameda
El Paso, TX 79915-4705

Mailing address

Utep Pharmacy Program
1100 N. Stanton, Ste 301
El Paso, TX 79902-4159
Phone (915) 747-8599

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
39510TXMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497827901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UTEP PHARMACY PROGRAM",
            "address_2": "1100 N. STANTON, STE 301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024159",
            "telephone_number": "915-747-8599",
            "fax_number": "915-747-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA CENTRO SAN VICENTE",
            "address_2": "8061 ALAMEDA",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799154705",
            "telephone_number": "915-859-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAS",
        "first_name": "JERI",
        "middle_name": "J",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.