Active NPI
Timothy Q Sisk, RPH
- Pharmacist
- Greer, SC
National Provider Identifier
1578780755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6537
- Practice address
- 415 Brockman McClimon Rd
Greer, SC 29651-6608 - Phone
- (866) 817-0411
- Fax
- (864) 801-0499
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6537 | SC | Primary |
Addresses
Primary practice location
415 Brockman McClimon Rd
Greer, SC 29651-6608
Mailing address
336 Raes Creek Dr
Greenville, SC 29609-1989
Phone (864) 268-0130
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6537 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1578780755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 RAES CREEK DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296091989",
"telephone_number": "864-268-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BROCKMAN MCCLIMON RD",
"city": "GREER",
"state": "SC",
"postal_code": "296516608",
"telephone_number": "866-817-0411",
"fax_number": "864-801-0499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISK",
"first_name": "TIMOTHY",
"middle_name": "Q",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
- Simply Southern Chiropractic Center - Greer
- Simply Southern Medical Center - Greer, LLC (Simply Southern Medical Center)
- Austin Simpson, PHARMD
- Jennifer Green Simpson, M.D.
- Natalie Jane Horton Simpson, DMD
- Sisters Assisting Home Care LLC
- Sanjeev Sivakumar, M.D.,
- Jessica Skean, LPC
- Skrip Shoppe Pharmacy Inc (Skrip Shoppe)
- Chelsie Skroback
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.