George Joseph Siffri, PHARMD
Individual provider Active NPI Nutrition Support Pharmacist · Cumming, GA
NPI 1720072119 · NPPES record last updated Apr 19, 2011
Key facts
- NPI
- 1720072119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Support Pharmacist 1835N1003X
- License
- RPH011942 (GA)
- Practice address
- 1200 Northside Forsyth Dr
Pharmacy Department
Cumming, GA 30041-7659 - Phone
- (770) 844-3290
- Fax
- (770) 844-3424
- NPI assigned
- Aug 31, 2005
- 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 |
|---|---|---|---|
| RPH011942 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | RPH011942 | GA | Yes |
| Pharmacist | 183500000X | RPH011942 | GA |
Addresses
Primary practice location
1200 Northside Forsyth Dr
Pharmacy Department
Cumming, GA 30041-7659
Mailing address
50 Mount Whitney PL
Johns Creek, GA 30022-5441
Phone (404) 434-3968
Other providers in Cumming, GA
- Naureen Sial
- Natalie Sibani
- Amy L Sickles
- Jennifer Siculiano
- Christina W Siewe
- Olivia Stoner Sikes
- Susan Simmons-Stevenson
- Grady D. Simmons III
- Edmund Lloyd Simon
- Mariann Simpson
All providers in Cumming, GA · Nutrition Support Pharmacist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2011. 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.